Carroll, Christine

Carroll, Christine is an individual health care provider with primary practice located at 4449 N 12Th St Suite A1, Phoenix AZ 85014-4520. She recently has 2 registered licenses in different health care specialties including Nursing Service Related Providers / Day Training/Habilitation Specialist, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Carroll, Christine can be contacted via phone (602) 279-1427.

Contact Information

Primary practice address
4449 N 12Th St Suite A1 Phoenix AZ 85014-4520
Phone: (602) 279-1427
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Day Training/Habilitation Specialist 373H00000X 9606 Arizona
Behavioral Health & Social Service Providers / Social Worker 104100000X 9606 Arizona

Profile Details

NPI number 1891849253
LBN Legal business name Carroll, Christine
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2007
Last updated Jan 9th, 2015 - about 10 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 1891849253 NPPES
Arizona MEDICAID 920365

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