Norcross, Jane H

Norcross, Jane H is an individual health care provider with primary practice located at 4555 Lake Shore Dr , Waco TX 76710-1814. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Norcross, Jane H can be contacted via phone (254) 776-0400.

Contact Information

Primary practice address
4555 Lake Shore Dr Waco TX 76710-1814
Phone: (254) 776-0400
Fax: (254) 776-0637
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 11828 Texas

Profile Details

NPI number 1265422687
LBN Legal business name Norcross, Jane H
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2005
Last updated Jul 8th, 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 1265422687 NPPES
Texas Other 116654 CHIP PROVIDER NUMBER

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