Dwyer-Elias, Rebecca Ruth

Dwyer-Elias, Rebecca Ruth is an individual health care provider with primary practice located at 1800 3Rd Ave Suite 516, Rock Island IL 61201. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Dwyer-Elias, Rebecca Ruth can be contacted via phone (309) 788-1050.

Contact Information

Primary practice address
1800 3Rd Ave Suite 516 Rock Island IL 61201
Phone: (309) 788-1050
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X Illinois

Profile Details

NPI number 1669431821
LBN Legal business name Dwyer-Elias, Rebecca Ruth
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2006
Last updated Jul 8th, 2007 - about 19 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 1669431821 NPPES
Iowa MEDICAID 0553453

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