Itzkowitz, Jimee L
Itzkowitz, Jimee L is an individual health care provider with primary practice located at 1652 Nw Hughwood Ct , Roseburg OR 97471-8844. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Itzkowitz, Jimee L can be contacted via phone (541) 673-3985.Contact Information
Primary practice address
1652 Nw Hughwood Ct
Roseburg OR 97471-8844
Phone: (541) 673-3985
Fax: (541) 673-8060
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | L3313 | Oregon |
Profile Details
| NPI number | 1407994171 |
|---|---|
| LBN Legal business name | Itzkowitz, Jimee L |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 2nd, 2007 |
| Last updated | Mar 28th, 2016 - about 8 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 | 1407994171 | NPPES |
| Oregon | MEDICAID | 500695418 |
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