Carollo, Jonathan
Carollo, Jonathan is an individual health care provider with primary practice located at 3919 N Maple St , Spokane WA 99205-1349. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Carollo, Jonathan can be contacted via phone (509) 444-8888.Contact Information
Primary practice address
3919 N Maple St
Spokane WA 99205-1349
Phone: (509) 444-8888
Fax: (509) 444-7806
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LW00006312 | Washington |
Profile Details
| NPI number | 1184682957 |
|---|---|
| LBN Legal business name | Carollo, Jonathan |
| Credentials | LICSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 2nd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184682957 | NPPES |
| Washington | Other | 8931692 | L&I CRIME VIC |
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