Roush, David Henry

Roush, David Henry is an sole proprietor health care provider with primary practice located at 2378 National Rd , Fairborn OH 45324-2009. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Roush, David Henry can be contacted via phone (937) 879-7996.

Contact Information

Primary practice address
2378 National Rd Fairborn OH 45324-2009
Phone: (937) 879-7996
Fax: (937) 879-7959
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 5807 Ohio

Profile Details

NPI number 1366593063
LBN Legal business name Roush, David Henry
Credentials PSYD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 16th, 2007
Last updated May 24th, 2010 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366593063 NPPES
Other 346766000 AETNA
MEDICAID 2267765 AETNA
Other 364903 AETNA
Other P12035861 AETNA
Other 000000239252 AETNA
Other 346766000 AETNA
Other 476759 AETNA
Other 346766000 AETNA

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