Carroll, Jasmine Shaddai

Carroll, Jasmine Shaddai is an individual health care provider with primary practice located at 1050 Niagara St , Buffalo NY 14213-2001. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Carroll, Jasmine Shaddai can be contacted via phone (716) 856-2587.

Contact Information

Primary practice address
1050 Niagara St Buffalo NY 14213-2001
Phone: (716) 856-2587
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1588286280
LBN Legal business name Carroll, Jasmine Shaddai
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2020
Last updated May 15th, 2020 - about 5 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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