Rose, Olivia Denise

Rose, Olivia Denise is an sole proprietor health care provider with primary practice located at 100 15Th St Nw Suite A, Norton VA 24273-1616. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Rose, Olivia Denise can be contacted via phone (276) 439-1840.

Contact Information

Primary practice address
100 15Th St Nw Suite A Norton VA 24273-1616
Phone: (276) 439-1840
Fax: (276) 439-1845
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0110004954 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1642 Kentucky

Profile Details

NPI number 1457639072
LBN Legal business name Rose, Olivia Denise
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 31st, 2011
Last updated Feb 23rd, 2017 - about 9 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 1457639072 NPPES
Virginia MEDICAID 1457639072

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