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Contact Information

SARA M ROSE, PA
331 HOSPITAL DR STE A
LEBANON, MO65536
 Phone: 417-533-6560
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for SARA M ROSE · (Female)

NPI Number 1457851404
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 02/16/2018
Last updated 10/22/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • MO License # 2018005544
Hospital affiliation(s)
  • MERCY HOSPITAL SPRINGFIELD - (Acute Care)
    1235 E CHEROKEE
    SPRINGFIELD, MO 65804
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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