Rose, K Daniel

Rose, K Daniel is an sole proprietor health care provider with primary practice located at 4050 W Soda Rock Ln , Healdsburg CA 95448-9631. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Rose, K Daniel can be contacted via phone (707) 433-5667.

Contact Information

Primary practice address
4050 W Soda Rock Ln Healdsburg CA 95448-9631
Phone: (707) 433-5667
Fax: (707) 473-4405
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X G25578 California

Profile Details

NPI number 1790704518
LBN Legal business name Rose, K Daniel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 19th, 2006
Last updated Nov 30th, 2016 - about 10 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 1790704518 NPPES
California Other G25578 MEDICAL LICENSE
California MEDICAID 00G255780 MEDICAL LICENSE

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