Domek, Roxanne R

Domek, Roxanne R is an sole proprietor health care provider with primary practice located at 1425 W Elliot Rd Suite 201, Gilbert AZ 85233-5129. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Domek, Roxanne R can be contacted via phone (605) 440-2059.

Contact Information

Primary practice address
1425 W Elliot Rd Suite 201 Gilbert AZ 85233-5129
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LPC949 South Dakota
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LPC Arizona

Profile Details

NPI number 1790819027
LBN Legal business name Domek, Roxanne R
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 16th, 2007
Last updated Jun 20th, 2014 - about 10 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 1790819027 NPPES
South Dakota Other 4993585 BLUE CROSS/BLUE SHIELD

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