Carper, John Mark
Carper, John Mark is an sole proprietor health care provider with primary practice located at 115 Summit Ave No. 3, Winthrop MA 02152-1087. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Carper, John Mark can be contacted via phone (617) 846-5383.Contact Information
Primary practice address
115 Summit Ave No. 3
Winthrop MA 02152-1087
Phone: (617) 846-5383
Fax: (617) 846-1650
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | 3856 | Massachusetts |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 3856 | Massachusetts |
Profile Details
| NPI number | 1730220039 |
|---|---|
| LBN Legal business name | Carper, John Mark |
| Credentials | ED.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 9th, 2007 |
| Last updated | Nov 29th, 2011 - about 15 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 | 1730220039 | NPPES |
| Massachusetts | Other | 3856 | LIC.. (PSYCHOL.PROVIDER) |
| Massachusetts | MEDICAID | 0516678 | LIC.. (PSYCHOL.PROVIDER) |
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