Carroll, James R

Carroll, James R is an sole proprietor health care provider with primary practice located at 7908 Cincinnati Dayton Rd Suite Sa, West Chester OH 45069-6602. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Carroll, James R can be contacted via phone (513) 777-5500.

Contact Information

Primary practice address
7908 Cincinnati Dayton Rd Suite Sa West Chester OH 45069-6602
Fax: (513) 777-8857
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 3361 Ohio

Profile Details

NPI number 1558456954
LBN Legal business name Carroll, James R
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 3rd, 2006
Last updated Jul 8th, 2007 - about 17 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 1558456954 NPPES
Ohio Other 000000002349 ANTHEM BLUE CROSS/BLUE SH
Ohio Other 0005803022 ANTHEM BLUE CROSS/BLUE SH

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