Carr, Joel R

Carr, Joel R is an sole proprietor health care provider with primary practice located at 704 E Main St Ste A , Moorestown NJ 08057-3070. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Carr, Joel R can be contacted via phone (609) 744-4590.

Contact Information

Primary practice address
704 E Main St Ste A Moorestown NJ 08057-3070
Fax: (856) 608-7630
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X OS009693L Pennsylvania
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 25MB08222900 New Jersey

Profile Details

NPI number 1275586489
LBN Legal business name Carr, Joel R
Credentials D.O., M.P.H.
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 18th, 2006
Last updated Mar 4th, 2009 - about 16 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 1275586489 NPPES
Maryland Other H0060757 LICENSE
Maryland Other OS009693L LICENSE
Maryland MEDICAID 1011060160001 LICENSE
Maryland Other 25MB08222900 LICENSE
Maryland MEDICAID 0136042 LICENSE

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