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Contact Information

JOHN ST ROSE JR, ND
1050 E UNIVERSITY DR STE 10
MESA, AZ85203-8046
 Phone: 480-712-7099
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Naturopath

175F00000X
 

Nutrition, Renal

133VN1005X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for JOHN ST ROSE JR · (Male)

NPI Number 1053808162
Status Active
Credentials ND
Entity Individual
Enumeration date 04/16/2018
Last updated 10/02/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • AL License # 870274
  • AZ License # 171624
Hospital affiliation(s) Not Available
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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