Roza, Katherine Anne
Roza, Katherine Anne is an individual health care provider with primary practice located at 2651 E Discovery Pkwy , Bloomington IN 47408-3412. She recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is her primary health care specialty. Roza, Katherine Anne can be contacted via phone (812) 353-3719.Contact Information
Primary practice address
2651 E Discovery Pkwy
Bloomington IN 47408-3412
Phone: (812) 353-3719
Fax: (812) 353-3713
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine | 207RH0002X | A178928 | California |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 01093704A | Indiana |
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | 01093704A | Indiana |
| Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine | 207RH0002X | 01093704A | Indiana |
Profile Details
| NPI number | 1821416207 |
|---|---|
| LBN Legal business name | Roza, Katherine Anne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 2nd, 2014 |
| Last updated | Sep 20th, 2024 - about 2 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 | 1821416207 | NPPES |
| Indiana | Other | 090540A09 | MEDICARE PTAN |
| Indiana | Other | 1101380920 | MEDICARE PTAN |
| Indiana | Other | A178928 | MEDICARE PTAN |
| Indiana | MEDICAID | 300092530 | MEDICARE PTAN |
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