Etsitty, Rose M

Etsitty, Rose M is an individual health care provider with primary practice located at Highway 191 And Hospital Road , Chinle AZ 86503. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Etsitty, Rose M can be contacted via phone (928) 674-7166.

Contact Information

Primary practice address
Highway 191 And Hospital Road Chinle AZ 86503
Phone: (928) 674-7166
Fax: (928) 674-7705
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 101YS0200X

Profile Details

NPI number 1548534514
LBN Legal business name Etsitty, Rose M
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2012
Last updated Mar 8th, 2012 - about 12 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 1548534514 NPPES
Other 139974 AMERICAN SCHOOL COUNSELORS ASSOCIATION

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