Thompson, Rosie Lee
Thompson, Rosie Lee is an sole proprietor health care provider with primary practice located at 6425 Birch Ave , Gary IN 46403-1923. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Thompson, Rosie Lee can be contacted via phone (219) 938-7157.Contact Information
Primary practice address
6425 Birch Ave
Gary IN 46403-1923
Phone: (219) 938-7157
Fax: (219) 938-7157
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 34001415A | Indiana |
Profile Details
| NPI number | 1972822955 |
|---|---|
| LBN Legal business name | Thompson, Rosie Lee |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 29th, 2010 |
| Last updated | May 29th, 2010 - about 15 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 | 1972822955 | NPPES |
| Indiana | MEDICAID | 100071070A |
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