# DR. DHARMA ROSE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1902842883
- **Gender:** F
- **Credential:** D.O.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | 02001899 | IN | — |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | MED-PHYS-LIC-53457 | MT | — |
| 207Q00000X | Family Medicine Physician | 02001899 | IN | — |
| 207Q00000X | Family Medicine Physician | MED-PHYS-LIC-53457 | MT | Yes |

## Other

- **Enumeration date:** 06/21/2006
- **Last updated:** 02/10/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1518902881 | BCBS MONTANA IDENTIFIER | — |
| 05 | — | 1518902881 | — | MT |
| 05 | — | 1902842883 | — | MT |
| 05 | — | 200231530 | — | IN |
| 05 | — | 200977140A | — | IN |