Caroll, John M
Caroll, John M is an sole proprietor health care provider with primary practice located at 814 Madison Ave , Covington KY 41011. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Caroll, John M can be contacted via phone (855) 591-0092.Contact Information
Primary practice address
814 Madison Ave
Covington KY 41011
Phone: (855) 591-0092
Fax: (606) 329-1530
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 1384 | Kentucky |
Profile Details
| NPI number | 1346595030 |
|---|---|
| LBN Legal business name | Caroll, John M |
| Credentials | LPCC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 18th, 2012 |
| Last updated | Aug 27th, 2018 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346595030 | NPPES |
| Kentucky | MEDICAID | 30610026 |
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