Rose, Harriet Annette

Rose, Harriet Annette is an individual health care provider with primary practice located at 675 N Matthews Rd , Lake City SC 29560-7027. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Rose, Harriet Annette can be contacted via phone (843) 394-7600.

Contact Information

Primary practice address
675 N Matthews Rd Lake City SC 29560-7027
Phone: (843) 394-7600
Fax: (843) 661-4892
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 101YS0200X

Profile Details

NPI number 1699894113
LBN Legal business name Rose, Harriet Annette
Credentials MASTER OF ART
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2007
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 1699894113 NPPES
South Carolina MEDICAID 376241

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