Archie, Carol

Archie, Carol is an sole proprietor health care provider with primary practice located at 269 S Mariposa Ave , Los Angeles CA 90004-5407. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Other Service Providers / Case Manager/Care Coordinator, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Archie, Carol can be contacted via phone (213) 639-2696.

Contact Information

Primary practice address
269 S Mariposa Ave Los Angeles CA 90004-5407
Phone: (213) 639-2696
Fax: (213) 389-1987
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X

Profile Details

NPI number 1861678989
LBN Legal business name Archie, Carol
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 18th, 2008
Last updated Jan 18th, 2008 - about 17 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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