Rose, Vicki L

Rose, Vicki L is an individual health care provider with primary practice located at 1230 E Main St , Mankato MN 56002-8674. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Rose, Vicki L can be contacted via phone (507) 625-1811.

Contact Information

Primary practice address
1230 E Main St Mankato MN 56002-8674
Phone: (507) 625-1811
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 9544 Minnesota

Profile Details

NPI number 1669451589
LBN Legal business name Rose, Vicki L
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2006
Last updated Jul 15th, 2020 - about 6 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 1669451589 NPPES
Minnesota Other 2409706 AMERICAS PPO
Minnesota Other NA2951024933 AMERICAS PPO
Minnesota Other HP30956 AMERICAS PPO
Minnesota Other 0109946 AMERICAS PPO
Minnesota Other 57B74RO AMERICAS PPO
Minnesota Other 140087 AMERICAS PPO
Minnesota Other 41084933956001C220 AMERICAS PPO
Minnesota MEDICAID 741190100 AMERICAS PPO

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