Rosa, Maria

Rosa, Maria is an individual health care provider with primary practice located at 20 S Park St , Madison WI 53715-1348. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Rosa, Maria can be contacted via phone (608) 287-2580.

Contact Information

Primary practice address
20 S Park St Madison WI 53715-1348
Phone: (608) 287-2580
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036105978 Illinois
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 72674 Wisconsin

Profile Details

NPI number 1992804793
LBN Legal business name Rosa, Maria
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2006
Last updated Dec 20th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992804793 NPPES
Illinois Other IL2613 MEDICARE GROUP PTAN

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