Roeth, Susan J
Roeth, Susan J is an sole proprietor health care provider with primary practice located at 1853 Oconnell Blvd Bldg 1056, Room 9, Fort Carson CO 80913-4055. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Roeth, Susan J can be contacted via phone (719) 526-6823.Contact Information
Primary practice address
1853 Oconnell Blvd Bldg 1056, Room 9
Fort Carson CO 80913-4055
Phone: (719) 526-6823
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 975 | Colorado |
Profile Details
| NPI number | 1376714105 |
|---|---|
| LBN Legal business name | Roeth, Susan J |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 19th, 2008 |
| Last updated | Apr 5th, 2011 - about 14 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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