Dr. Mitchell Barry Rose
Chiropractic Sports Physician
281 N Main St
Bristol
, Connecticut 06010-4971
Dr. Mitchell Barry Rose
Chiropractic Sports Physician
281 N Main St
Bristol
, Connecticut 06010-4971
(860) 675-1690
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About
Features
Specialties
- Chiropractic Sports Physician
Languages spoken
- English
Location
First Address
- Dr. Mitchell Barry Rose
- 57 High Ridge Holw
- Avon, CT
- Zip : 06001-3200
- Phone : (860) 675-1690
Second Address
- Dr. Mitchell Barry Rose
- 281 N Main St
- Bristol, CT
- Zip : 06010-4971
- Fax : (860) 582-5499
- Phone : (860) 582-6111
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 111NS0005X | Chiropractic Sports Physician | 490 | CT |
National Provider Identifier
| NPI | 1154367415 |
|---|---|
| Provider Name | Dr. Mitchell Barry Rose |
| First Address | Avon, CT 06001-3200 |
| Second Address | Bristol, CT 06010-4971 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/06/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| T22175 | (02) | CT |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.