Carroll, Joshua

Carroll, Joshua is an individual health care provider with primary practice located at 28523 N 221St Ave , Wittmann AZ 85361-9784. He recently has only one registered license in Nursing Service Related Providers / Day Training/Habilitation Specialist, which is considered as his primary health care specialty. Carroll, Joshua can be contacted via phone (602) 738-8788.

Contact Information

Primary practice address
28523 N 221St Ave Wittmann AZ 85361-9784
Phone: (602) 738-8788
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Day Training/Habilitation Specialist 373H00000X 10624 Arizona

Profile Details

NPI number 1548314693
LBN Legal business name Carroll, Joshua
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2007
Last updated Jul 9th, 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 1548314693 NPPES
Arizona MEDICAID 976631

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