Rodman, Jerald
Rodman, Jerald is an sole proprietor health care provider with primary practice located at 2565 Kristine Ct , Centralia WA 98531-8808. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Rodman, Jerald can be contacted via phone (509) 956-9286.Contact Information
Primary practice address
2565 Kristine Ct
Centralia WA 98531-8808
Phone: (509) 956-9286
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LW61055483 | Washington |
Profile Details
| NPI number | 1104427715 |
|---|---|
| LBN Legal business name | Rodman, Jerald |
| Credentials | LICSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 2nd, 2020 |
| Last updated | Nov 2nd, 2020 - about 6 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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