Ross, Georgia Antoinette
Ross, Georgia Antoinette is an sole proprietor health care provider with primary practice located at 507 N Jefferson St , New Castle PA 16101-2114. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Ross, Georgia Antoinette can be contacted via phone (724) 674-2431.Contact Information
Primary practice address
507 N Jefferson St
New Castle PA 16101-2114
Phone: (724) 674-2431
Fax: (724) 654-3461
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | CW014088L | Pennsylvania |
Profile Details
| NPI number | 1770687097 |
|---|---|
| LBN Legal business name | Ross, Georgia Antoinette |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770687097 | NPPES |
| Pennsylvania | Other | R0522762 | HIGHMARK BLUE SHIELD FEP |
| Pennsylvania | Other | 155830 | HIGHMARK BLUE SHIELD FEP |
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