Dwyer-Elias, Rebecca Ruth
Dwyer-Elias, Rebecca Ruth is an individual health care provider with primary practice located at 1800 3Rd Ave Suite 516, Rock Island IL 61201. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Dwyer-Elias, Rebecca Ruth can be contacted via phone (309) 788-1050.Contact Information
Primary practice address
1800 3Rd Ave Suite 516
Rock Island IL 61201
Phone: (309) 788-1050
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | Illinois |
Profile Details
| NPI number | 1669431821 |
|---|---|
| LBN Legal business name | Dwyer-Elias, Rebecca Ruth |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 17th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1669431821 | NPPES |
| Iowa | MEDICAID | 0553453 |
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