Rose, Walter H
Rose, Walter H is an individual health care provider with primary practice located at 122 E Baker St , Indianola MS 38751-2451. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Rose, Walter H can be contacted via phone (662) 887-2212.Contact Information
Primary practice address
122 E Baker St
Indianola MS 38751-2451
Phone: (662) 887-2212
Fax: (662) 887-1279
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 4712 | Mississippi |
Profile Details
| NPI number | 1295826196 |
|---|---|
| LBN Legal business name | Rose, Walter H |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 27th, 2006 |
| Last updated | May 3rd, 2010 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295826196 | NPPES |
| Mississippi | MEDICAID | 00114777 |
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