Rose, Mary Ann

Rose, Mary Ann is an individual health care provider with primary practice located at 455 Saint Michaels Dr , Santa Fe NM 87505-7601. She recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as her primary health care specialty. Rose, Mary Ann can be contacted via phone (505) 913-8900.

Contact Information

Primary practice address
455 Saint Michaels Dr Santa Fe NM 87505-7601
Phone: (505) 913-8900
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X C43111 California
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X MD2015-0619 New Mexico

Profile Details

NPI number 1114901469
LBN Legal business name Rose, Mary Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2005
Last updated Jul 6th, 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 1114901469 NPPES
California MEDICAID 00C431110

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