Nash, Roxanne

Nash, Roxanne is an individual health care provider with primary practice located at 4600 3Rd St , Moline IL 61265-6106. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Nash, Roxanne can be contacted via phone (309) 779-2031.

Contact Information

Primary practice address
4600 3Rd St Moline IL 61265-6106
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X Illinois

Profile Details

NPI number 1235122060
LBN Legal business name Nash, Roxanne
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 26th, 2005
Last updated Jul 9th, 2007 - about 18 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 1235122060 NPPES
Illinois Other 0582262 IOWA MEDICAID W NUMBER
Illinois Other IL0178 IOWA MEDICAID W NUMBER
Illinois MEDICAID 1582262 IOWA MEDICAID W NUMBER
Illinois Other 99016 IOWA MEDICAID W NUMBER

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