JEROME ROSE RT NPI 1093133092

NPI Information

NPI: 1093133092
Provider Name: JEROME ROSE, RT
Classification: Radiologic Technologist - 247100000X
Entity Type: Individual
Address:
167 NORTH MAIN STREET
TUBA CITY, AZ
ZIP 86045
Phone: (928) 283-2501
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Jerome Rose, RT is a radiologic technologist in Tuba City, AZ. The provider is a medical imaging or radiation therapy professional who is appropriately educated and trained to perform medical imaging procedures using ionizing and nonionizing radiation. Jerome Rose, RT NPI is 1093133092. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

167 NORTH MAIN STREET
TUBA CITY, AZ
ZIP 86045-600
Phone: (928) 283-2501

The enumeration date for this NPI number is 4/7/2014 and was last updated on 4/7/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	247100000X	Radiologic Technologist		521689	ARIZONA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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