Nothdorf-Gisel, Jill Ann
Nothdorf-Gisel, Jill Ann is an individual health care provider with primary practice located at 250 20Th Ave N Ste 250 , Clinton IA 52732-2506. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Nothdorf-Gisel, Jill Ann can be contacted via phone (563) 243-2124.Contact Information
Primary practice address
250 20Th Ave N Ste 250
Clinton IA 52732-2506
Phone: (563) 243-2124
Fax: (563) 243-2190
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 07065 | Iowa |
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 02803 | Iowa |
Profile Details
| NPI number | 1750868162 |
|---|---|
| LBN Legal business name | Nothdorf-Gisel, Jill Ann |
| Credentials | LBSW, CDAC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 27th, 2018 |
| Last updated | Jul 27th, 2018 - about 7 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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