Carroll, Cynthia M
Carroll, Cynthia M is an individual health care provider with primary practice located at 1708A Owen Dr , Fayetteville NC 28304-3419. 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, Cynthia M can be contacted via phone (910) 425-6282.Contact Information
Primary practice address
1708A Owen Dr
Fayetteville NC 28304-3419
Phone: (910) 425-6282
Fax: (910) 425-6554
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist | 222Q00000X | 8300047K | North Carolina |
Profile Details
| NPI number | 1346564309 |
|---|---|
| LBN Legal business name | Carroll, Cynthia M |
| Credentials | ITFS, M.ED |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 19th, 2010 |
| Last updated | Apr 8th, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346564309 | NPPES |
| North Carolina | MEDICAID | 8300047K |
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