Shade, Rosemary S
Shade, Rosemary S is an individual health care provider with primary practice located at 1733 Penn Ave , Reading PA 19609-2054. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Shade, Rosemary S can be contacted via phone (610) 670-7270.Contact Information
Primary practice address
1733 Penn Ave
Reading PA 19609-2054
Phone: (610) 670-7270
Fax: (610) 678-3825
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | CW013492 | Pennsylvania |
Profile Details
| NPI number | 1093713406 |
|---|---|
| LBN Legal business name | Shade, Rosemary S |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 9th, 2005 |
| Last updated | Jul 2nd, 2019 - about 5 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 | 1093713406 | NPPES |
| Pennsylvania | MEDICAID | 103421930 |
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