Ross, Jeannette D
Ross, Jeannette D is an sole proprietor health care provider with primary practice located at 1460 S Mccall Rd , Englewood FL 34223-4864. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Ross, Jeannette D can be contacted via phone (941) 223-0105.Contact Information
Primary practice address
1460 S Mccall Rd
Englewood FL 34223-4864
Phone: (941) 223-0105
Fax: (941) 681-2663
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | SW0002147 | Florida |
Profile Details
| NPI number | 1376567297 |
|---|---|
| LBN Legal business name | Ross, Jeannette D |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 26th, 2006 |
| Last updated | Jan 14th, 2015 - about 11 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 | 1376567297 | NPPES |
| Florida | Other | Z2818A | PTAN |
| Florida | Other | Z2818 | PTAN |
| Florida | Other | 1105340 | PTAN |
| Florida | MEDICAID | 689672396 | PTAN |
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