Heather J Dukes Rosales
Family Doctor - Sports Medicine
2605 E Creeks Edge Dr
Bloomington
, Indiana 47401-8368
Heather J Dukes Rosales
Family Doctor - Sports Medicine
2605 E Creeks Edge Dr
Bloomington
, Indiana 47401-8368
(812) 355-2302
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About
Features
Specialties
- Family Doctor - Sports Medicine
Languages spoken
- English
Location
First Address
- Heather J Dukes Rosales
- 2605 E Creeks Edge Dr
- Bloomington, IN
- Zip : 47401-8368
- Fax : (812) 355-2302
- Phone : (812) 355-2300
Second Address
- Heather J Dukes Rosales
- 2605 E Creeks Edge Dr
- Bloomington, IN
- Zip : 47401-8368
- Fax : (812) 355-2302
- Phone : (812) 355-2300
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QS0010X | Family Doctor - Sports Medicine | 02003675A | IN |
National Provider Identifier
| NPI | 1285890764 |
|---|---|
| Provider Name | Heather J Dukes Rosales |
| First Address | Bloomington, IN 47401-8368 |
| Second Address | Bloomington, IN 47401-8368 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/08/2008 |
| Last Update Date | 04/12/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 200982130 | (05) | IN |
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.