Phyllis Ruth Roelofs in Warren - Clinical
Phyllis Ruth Roelofs - NPI 1649314956
Phyllis Ruth Roelofs is a Clinical in Warren, Michigan. Phyllis Ruth Roelofs practices all healthcare services and medical treatments related to Clinical. The NPI Number for Phyllis Ruth Roelofs is 1649314956. The last update date is 2014-02-13.
Phyllis Ruth Roelofs's current location address is 4426 Wisteria Ct, Warren, Michigan. You can contact this provider via phone number 2484592002 and fax number 5865740389. The mailing address for Phyllis Ruth Roelofs is 4426 Wisteria Ct, Warren, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Phyllis Ruth Roelofs |
|---|---|
| Address | 4426 Wisteria Ct, Warren, Michigan |
| Phone Number | 2484592002 |
| Fax Number | 5865740389 |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1649314956 |
|---|---|
| Provider Enumeration Date | 2007-02-19 |
| Last Updated Date | 2014-02-13 |
Provider Mailing Address Detail
| Address | 4426 Wisteria Ct |
|---|---|
| City | Warren |
| State | Michigan (MI) |
| Post Code | 480926116 |
| Phone Number | 2484592002 |
| Fax Number | 5865740389 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 6801060243 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8009078570 | MI | BLUECROSSBLUESHIELD | |
| 40252 | MI | VALUEOPTIONS |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Phyllis Ruth Roelofs by the Centers for Medicare & Medicaid Services?
The Phyllis Ruth Roelofs has been assigned the NPI (National Provider Identifier) 1649314956 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Phyllis Ruth Roelofs's facilities are geographically located?
The facilities of Phyllis Ruth Roelofs are physically situated at the following location: 4426 Wisteria Ct, Warren, MI, 480926116.
What is Phyllis Ruth Roelofs's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Phyllis Ruth Roelofs is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.
When did the Phyllis Ruth Roelofs receive its 1649314956?
The Phyllis Ruth Roelofs was issued its 1649314956 on 2007-02-19, which is the date when the organization was assigned this unique identifier.
When was the Phyllis Ruth Roelofs's information last updated?
The Phyllis Ruth Roelofs's information was last updated on 2014-02-13.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY