Wax, Rozi P

Wax, Rozi P is an individual health care provider with primary practice located at 113 Lincoln Way East , Mishawaka IN 46544-2016. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Wax, Rozi P can be contacted via phone (574) 255-4976.

Contact Information

Primary practice address
113 Lincoln Way East Mishawaka IN 46544-2016
Phone: (574) 255-4976
Fax: (574) 255-1882
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 39001347A Indiana

Profile Details

NPI number 1053482653
LBN Legal business name Wax, Rozi P
Credentials LMHC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 13th, 2006
Last updated Jan 24th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1053482653 NPPES
Indiana Other 7628748 AETNA
Indiana MEDICAID 200475040 AETNA
Indiana Other 000000341229 AETNA
Indiana Other 795208000 AETNA

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