Rose, Michelle Susanne

Rose, Michelle Susanne is an individual health care provider with primary practice located at 1190 Lynnhaven Pkwy , Virginia Beach VA 23452-4814. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Rose, Michelle Susanne can be contacted via phone (757) 468-5444.

Contact Information

Primary practice address
1190 Lynnhaven Pkwy Virginia Beach VA 23452-4814
Phone: (757) 468-5444
Fax: (757) 468-2091
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 0104001924 Virginia

Profile Details

NPI number 1740281039
LBN Legal business name Rose, Michelle Susanne
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
Last updated Dec 10th, 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 1740281039 NPPES
Virginia Other I0005362725 AETNA
Virginia Other 1205733 AETNA
Virginia Other 44-00166 AETNA
Virginia Other 393538 AETNA

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