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
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
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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