Rose, Vicki J
Rose, Vicki J is an individual health care provider with primary practice located at 2323 Windish Dr , Galesburg IL 61401-9780. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Rose, Vicki J can be contacted via phone (309) 344-4200.Contact Information
Primary practice address
2323 Windish Dr
Galesburg IL 61401-9780
Phone: (309) 344-4200
Fax: (309) 344-4281
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X |
Profile Details
| NPI number | 1366566036 |
|---|---|
| LBN Legal business name | Rose, Vicki J |
| Credentials | BS,CADC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 19th, 2007 |
| Last updated | Sep 22nd, 2009 - about 16 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 | 1366566036 | NPPES |
| Illinois | Other | 370984175 | FEIN ORGANIZATION |
Popular Providers
-
Campbell, Joseph A
2323 Windish Dr , Galesburg IL 61401-9780 -
Sims, Tommye J
4334 Nw Expressway Suite 266, Oklahoma City OK 73116-1578 -
Kadet, Jeanne
5244 Lyngate Ct Suite 200, Burke VA 22015-1631 -
Babcock, Tiffany Marie
2323 Windish Dr , Galesburg IL 61401-9780 -
Sward, James
311 E Main St , Galesburg IL 61401-4855 -
Jameson, Albert W
333 Throckmorton St #909, Fort Worth TX 76102-7421 -
Kistler, Karen Elaine
2323 Windish Dr , Galesburg IL 61401-9780 -
Sims, Preston Lynn
4334 Nw Expressway Ste 266, Oklahoma City OK 73116-1578