Carl, Lenora Jean

Carl, Lenora Jean is an sole proprietor health care provider with primary practice located at 2801 E Bristol St Suite B, Elkhart IN 46514-4300. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Carl, Lenora Jean can be contacted via phone (574) 262-9319.

Contact Information

Primary practice address
2801 E Bristol St Suite B Elkhart IN 46514-4300
Phone: (574) 262-9319
Fax: (574) 262-2269
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 34003787A Indiana

Profile Details

NPI number 1881603728
LBN Legal business name Carl, Lenora Jean
Credentials MSW, LCSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 7th, 2006
Last updated Jul 8th, 2007 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1881603728 NPPES
Indiana MEDICAID 200251470A

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