Rose, Roxanne Mae

Rose, Roxanne Mae is an sole proprietor health care provider with primary practice located at 217 Grandview Ave , Devils Lake ND 58301-4123. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Rose, Roxanne Mae can be contacted via phone (701) 662-5590.

Contact Information

Primary practice address
217 Grandview Ave Devils Lake ND 58301-4123
Phone: (701) 662-5590
Fax: (701) 665-3252
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 2096 North Dakota

Profile Details

NPI number 1124084942
LBN Legal business name Rose, Roxanne Mae
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 21st, 2006
Last updated Feb 2nd, 2012 - about 13 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 1124084942 NPPES
North Dakota MEDICAID 19124
North Dakota Other 23117
North Dakota Other 24043
North Dakota MEDICAID 181620900
North Dakota Other 284K8DA
North Dakota Other N715569

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