Individual
MICHELLE SUSANNE ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
1190 LYNNHAVEN PKWY, VIRGINIA BEACH, VA 23452-4814
(757) 468-5444
(757) 468-2091
Mailing address
1190 LYNNHAVEN PKWY, VIRGINIA BEACH, VA 23452-4814
(757) 468-5444
(757) 468-2091
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104001924
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1205733
FIRST HEALTH
VA
01
—
393538
BCBS
VA
01
—
44-00166
UHC
VA
01
—
I0005362725
AETNA
VA
Enumeration date
08/09/2005
Last updated
12/10/2007
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