Rose, Rebecca Judene

Rose, Rebecca Judene is an individual health care provider with primary practice located at 1 Jack Foster Dr , Shenandoah IA 51601-4586. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Rose, Rebecca Judene can be contacted via phone (712) 246-7485.

Contact Information

Primary practice address
1 Jack Foster Dr Shenandoah IA 51601-4586
Phone: (712) 246-7485
Fax: (712) 246-7036
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 248293-1 New York
Allopathic & Osteopathic Physicians / Surgery 208600000X 38581 Iowa

Profile Details

NPI number 1609015577
LBN Legal business name Rose, Rebecca Judene
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2009
Last updated Oct 13th, 2021 - about 5 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 1609015577 NPPES
South Dakota MEDICAID 7728720
South Dakota Other P00805363
South Dakota MEDICAID 00606
South Dakota MEDICAID 10025458000
South Dakota Other 260558

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