Rose, Barry

Rose, Barry is an individual health care provider with primary practice located at 3944 S 400 E , Salt Lake City UT 84107-1600. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Rose, Barry can be contacted via phone (801) 261-1442.

Contact Information

Primary practice address
3944 S 400 E Salt Lake City UT 84107-1600
Fax: (801) 261-9569
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 971363963501 Utah

Profile Details

NPI number 1477533412
LBN Legal business name Rose, Barry
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2006
Last updated Jul 8th, 2007 - about 19 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 1477533412 NPPES
Utah Other S74153 ICAR
Utah Other 107032376101 ICAR
Utah Other 942938348R02 ICAR
Utah Other 341613 ICAR

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