National Provider Identifier
Glenda Ruth Rose, D.C.
Glenda Ruth Rose, D.C. is listed in the NPPES registry with a primary specialty of Chiropractor in Lewiston, NY and a listed phone number of (716) 754-9039.
Profile Overview
- NPI
- 1962549014
- Provider Type
- Individual
- Primary Specialty
- Chiropractor
- Enumeration Date
- January 30, 2007
- Last Updated
- July 08, 2007
Practice Location
- 435 Ridge St
- Lewiston, NY 14092-1205
Phone: (716) 754-9039
Specialties
- Chiropractor (111N00000X)
Full Record
- NPI
- 1962549014
- Entity Type
- Individual
- Last Name
- Rose
- First Name
- Glenda
- Middle Name
- Ruth
- Name Prefix
- Dr.
- Credential
- D.C.
- Provider Other Last Name
- Barba
- Provider Other First Name
- Glenda
- Provider Other Middle Name
- Rose
- Provider Other Name Prefix Text
- Mrs.
- Provider Other Last Name Type Code
- 5
- Mailing Street Address
- 435 Ridge St
- Mailing City
- Lewiston
- Mailing State
- NY
- Mailing ZIP Code
- 14092-1205
- Mailing Country
- US
- Mailing Phone
- (716) 754-9039
- Mailing Fax
- (716) 754-9064
- Practice Street Address
- 435 Ridge St
- Practice City
- Lewiston
- Practice State
- NY
- Practice ZIP Code
- 14092-1205
- Practice Country
- US
- Practice Phone
- (716) 754-9039
- Practice Fax
- (716) 754-9064
- Enumeration Date
- January 30, 2007
- Last Updated
- July 08, 2007
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Chiropractor (111N00000X)
- Other Identifiers
- C02901-9 (NY, Workers Compensation)