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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861532699 | NPPES |
| Iowa | MEDICAID | 420716337 |
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