Etherington, Rosalie

Etherington, Rosalie is an sole proprietor health care provider with primary practice located at 1712 Elmwood Pl , Jamestown ND 58401-5748. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Etherington, Rosalie can be contacted via phone (701) 269-2979.

Contact Information

Primary practice address
1712 Elmwood Pl Jamestown ND 58401-5748
Phone: (701) 269-2979
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X ND 268 North Dakota
Behavioral Health & Social Service Providers / Clinical 103TC0700X 268 North Dakota

Profile Details

NPI number 1770629164
LBN Legal business name Etherington, Rosalie
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 30th, 2007
Last updated Mar 27th, 2023 - about 2 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 1770629164 NPPES
North Dakota MEDICAID 1460283

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