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
Phone: (605) 440-2059
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1790819027 | NPPES |
South Dakota | Other | 4993585 | BLUE CROSS/BLUE SHIELD |
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