Carroll, Addie Lois

Carroll, Addie Lois is an individual health care provider with primary practice located at 6900 N Hills Blvd , North Little Rock AR 72116-5423. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, which is considered as her primary health care specialty. Carroll, Addie Lois can be contacted via phone (501) 834-0217.

Contact Information

Primary practice address
6900 N Hills Blvd North Little Rock AR 72116-5423
Phone: (501) 834-0217
Fax: (501) 833-0957
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X Arkansas

Profile Details

NPI number 1508340100
LBN Legal business name Carroll, Addie Lois
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2018
Last updated Sep 19th, 2018 - about 6 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 1508340100 NPPES
Arkansas MEDICAID 1124083118

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