Carman, Connie

Carman, Connie is an individual health care provider with primary practice located at 2712 S Calhoun St , Fort Wayne IN 46807-1402. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Carman, Connie can be contacted via phone (260) 744-4326.

Contact Information

Primary practice address
2712 S Calhoun St Fort Wayne IN 46807-1402
Phone: (260) 744-4326
Fax: (260) 744-0188
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 34004013A Indiana
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 87000446A Indiana

Profile Details

NPI number 1255479366
LBN Legal business name Carman, Connie
Credentials LCSW, LCAC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2007
Last updated Sep 14th, 2016 - about 9 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 1255479366 NPPES
Indiana MEDICAID 200090360A

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