Rose, Elizabeth Marie

Rose, Elizabeth Marie is an sole proprietor health care provider with primary practice located at 310 E Burlington St Suites 12 & 14, Iowa City IA 52240-1668. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Rose, Elizabeth Marie can be contacted via phone (319) 337-3267.

Contact Information

Primary practice address
310 E Burlington St Suites 12 & 14 Iowa City IA 52240-1668
Phone: (319) 337-3267
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 00878 Iowa

Profile Details

NPI number 1689729030
LBN Legal business name Rose, Elizabeth Marie
Credentials PHD LP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 24th, 2007
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 1689729030 NPPES
Iowa Other 19649 WELLMARK BCBS

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