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Contact Information

ANTHONY J ROSE, PA-C
224 WEST ERIE
HARRISON, AR72601
 Phone: 870-741-8289
 Fax: 870-741-0308
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
 

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for ANTHONY J ROSE · (Male)

NPI Number 1629003736
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 07/11/2006
Last updated 12/08/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • AR License # PA-421
  • IL License # 085002770
  • NM License # 92PA15
  • NM Medicaid 98122
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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