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Contact Information

DHARMA ROSE, DO
54699 HILLSIDE RD
SAINT IGNATIUS, MT59865-8915
 Phone: 406-745-0845
 Fax: 833-918-2217
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Neuromusculoskeletal Medicine & OMM

204D00000X 12 Physician/Osteopathic Manipulative Medicine
Indicates primary specialty

NPI Profile & details for DHARMA ROSE · (Female)

NPI Number 1902842883
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 06/21/2006
Last updated 02/10/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 02001899
  • MT License # MED-PHYS-LIC-53457
  • IN Medicaid 200231530
  • IN Medicaid 200977140A
  • MT Medicaid 1518902881
  • MT Medicaid 1902842883
  • Other 1518902881 BCBS MONTANA IDENTIFIER
Hospital affiliation(s)
  • COMMUNITY MEDICAL CENTER INC - (Acute Care)
    2827 FORT MISSOULA RD
    MISSOULA, MT 59804
  • ST LUKE COMMUNITY HOSPITAL - (Critical Access)
    107 6TH AVE SW
    RONAN, MT 59864
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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