Carroll, Adam

Carroll, Adam is an individual health care provider with primary practice located at 1935 N Main St , Bluffton IN 46714-1182. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Carroll, Adam can be contacted via phone (260) 824-9000.

Contact Information

Primary practice address
1935 N Main St Bluffton IN 46714-1182
Phone: (260) 824-9000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 85000379A Indiana

Profile Details

NPI number 1861067522
LBN Legal business name Carroll, Adam
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2021
Last updated May 25th, 2021 - about 4 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 1861067522 NPPES
Indiana MEDICAID 3000050022

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