Ross, Julie
Ross, Julie is an individual health care provider with primary practice located at 3001 Warrior Ln , Poplar Bluff MO 63901-8685. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Ross, Julie can be contacted via phone (573) 686-1200.Contact Information
Primary practice address
3001 Warrior Ln
Poplar Bluff MO 63901-8685
Phone: (573) 686-1200
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 2021041384 | Missouri |
Profile Details
| NPI number | 1013313279 |
|---|---|
| LBN Legal business name | Ross, Julie |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 14th, 2014 |
| Last updated | Oct 20th, 2021 - about 5 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 | 1013313279 | NPPES |
| Missouri | MEDICAID | 490060295 |
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