Carollo, John K
Carollo, John K is an sole proprietor health care provider with primary practice located at 8431 Fredericksburg Rd Fl 5 , San Antonio TX 78229-3392. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Carollo, John K can be contacted via phone (210) 845-6458.Contact Information
Primary practice address
8431 Fredericksburg Rd Fl 5
San Antonio TX 78229-3392
Phone: (210) 845-6458
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | AT-1425 | Ohio |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | AT1929 | Texas |
Profile Details
| NPI number | 1841235546 |
|---|---|
| LBN Legal business name | Carollo, John K |
| Credentials | MS, LAT, ATC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 17th, 2006 |
| Last updated | Oct 1st, 2023 - about last year |
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 | 1841235546 | NPPES |
| Ohio | Other | AT-1425 | ATHLETIC TRAINING LICENSE |
| Ohio | Other | AT1929 | ATHLETIC TRAINING LICENSE |
| Ohio | Other | 069802392 | ATHLETIC TRAINING LICENSE |
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