Asbury, Jill Sandra

Asbury, Jill Sandra is an individual health care provider with primary practice located at 1441 W Central Park Ave , Davenport IA 52804-1707. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Asbury, Jill Sandra can be contacted via phone (563) 383-1900.

Contact Information

Primary practice address
1441 W Central Park Ave Davenport IA 52804-1707
Phone: (563) 383-1900
Fax: (563) 884-4638
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 00714 Iowa

Profile Details

NPI number 1861532699
LBN Legal business name Asbury, Jill Sandra
Credentials LISW
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2007
Last updated May 21st, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861532699 NPPES
Iowa MEDICAID 420716337

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