Ross, Andrew

Ross, Andrew is an individual health care provider with primary practice located at 303 18Th St , Rock Island IL 61201-8715. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Ross, Andrew can be contacted via phone (309) 788-6374.

Contact Information

Primary practice address
303 18Th St Rock Island IL 61201-8715
Phone: (309) 788-6374
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 180010880 Illinois
Behavioral Health & Social Service Providers / Professional 101YP2500X 180010880 Illinois

Profile Details

NPI number 1053831891
LBN Legal business name Ross, Andrew
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2017
Last updated Nov 10th, 2017 - about 9 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 1053831891 NPPES
Illinois Other 180010880 ILLINOIS LCPC

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