Rose, Abigail Ann
Rose, Abigail Ann is an sole proprietor health care provider with primary practice located at 697 Louisiana Rd , Dyess Afb TX 79607-1141. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Community Health Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Rose, Abigail Ann can be contacted via phone (256) 968-3433.Contact Information
Primary practice address
697 Louisiana Rd
Dyess Afb TX 79607-1141
Phone: (256) 968-3433
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Community Health Worker | 172V00000X | 55209 | Texas |
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | C008611 | North Carolina |
Profile Details
NPI number | 1023386315 |
---|---|
LBN Legal business name | Rose, Abigail Ann |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Dec 1st, 2011 |
Last updated | Mar 11th, 2020 - about 4 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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