Keith Rose
Physical Medicine & Rehabilitation Doctor
3916 Charlevoix Ave Suite B
Petoskey
, Michigan 49770-9722
Keith Rose
Physical Medicine & Rehabilitation Doctor
3916 Charlevoix Ave Suite B
Petoskey
, Michigan 49770-9722
(231) 347-3223
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About
Features
Specialties
- Physical Medicine & Rehabilitation Doctor
Languages spoken
- English
Location
First Address
- Keith Rose
- Po Box 34
- Petoskey, MI
- Zip : 49770-0034
- Fax : (231) 347-3223
- Phone : (231) 348-1995
Second Address
- Keith Rose
- 3916 Charlevoix Ave Suite B
- Petoskey, MI
- Zip : 49770-9722
- Fax : (231) 347-3223
- Phone : (231) 348-1995
Reviews
FAQs
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In what state does Keith Rose practice in?
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What is Keith Rose ’s gender?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 4301064558 | MI |
National Provider Identifier
| NPI | 1063422285 |
|---|---|
| Provider Name | Keith Rose |
| First Address | Petoskey, MI 49770-0034 |
| Second Address | Petoskey, MI 49770-9722 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/08/2006 |
| Last Update Date | 14/03/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 2502410522 | BCBS (01) | MI |
| 4692460-10 | (05) | MI |
| 5176947 | (05) | MI |
| F63705 | (02) |
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.