Carroll, Camerin S

Carroll, Camerin S is an individual health care provider with primary practice located at 8100 Three Chopt Rd Rm 143 , Henrico VA 23229-4833. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Carroll, Camerin S can be contacted via phone (804) 269-4732.

Contact Information

Primary practice address
8100 Three Chopt Rd Rm 143 Henrico VA 23229-4833
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1669062584
LBN Legal business name Carroll, Camerin S
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2021
Last updated Jan 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 1669062584 NPPES
Massachusetts MEDICAID 110026265E

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