Carrol-Castaneda, Ametra
Carrol-Castaneda, Ametra is an individual health care provider with primary practice located at 2701 17Th St , Rock Island IL 61201-5351. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Carrol-Castaneda, Ametra can be contacted via phone (309) 779-3013.Contact Information
Primary practice address
2701 17Th St
Rock Island IL 61201-5351
Phone: (309) 779-3013
Fax: (309) 779-2078
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 28786 | Illinois |
Profile Details
NPI number | 1992259584 |
---|---|
LBN Legal business name | Carrol-Castaneda, Ametra |
Credentials | CADC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 11th, 2016 |
Last updated | Aug 11th, 2016 - about 9 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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