Carroll, John Edwin

Carroll, John Edwin is an sole proprietor health care provider with primary practice located at 1425 S Glenburnie Rd Ste 5 , New Bern NC 28562-2610. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Carroll, John Edwin can be contacted via phone (252) 675-3620.

Contact Information

Primary practice address
1425 S Glenburnie Rd Ste 5 New Bern NC 28562-2610
Phone: (252) 675-3620
Fax: (252) 633-1005
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 3874 North Carolina
Behavioral Health & Social Service Providers / Mental Health 101YM0800X S3874 North Carolina

Profile Details

NPI number 1841257037
LBN Legal business name Carroll, John Edwin
Credentials LCMHCS
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 1st, 2006
Last updated Jun 23rd, 2021 - about 3 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 1841257037 NPPES
North Carolina Other 139X5 BC
North Carolina MEDICAID 6102827 BC

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