Carroll, Latisha Janine
Carroll, Latisha Janine is an sole proprietor health care provider with primary practice located at 655 N Cassady Ave Ste 7 , Columbus OH 43219-2720. She recently has 7 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Nursing Service Providers / Continuing Education/Staff Development, Nursing Service Providers / Home Health, Nursing Service Providers / Nurse Massage Therapist (NMT), Other Service Providers / Health Educator, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, Nursing Service Providers / Registered Nurse. Nursing Service Providers / Registered Nurse is her primary health care specialty. Carroll, Latisha Janine can be contacted via phone (614) 843-4013.Contact Information
Primary practice address
655 N Cassady Ave Ste 7
Columbus OH 43219-2720
Phone: (614) 843-4013
Fax: (614) 413-3956
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 173320 | Ohio |
| Nursing Service Providers / Continuing Education/Staff Development | 163WC1600X | RN357419 | Ohio |
| Nursing Service Providers / Home Health | 163WH0200X | RN357419 | Ohio |
| Nursing Service Providers / Nurse Massage Therapist (NMT) | 163WM1400X | RN357419 | Ohio |
| Other Service Providers / Health Educator | 174H00000X | ||
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | ||
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | 33.025302 | Ohio |
| Nursing Service Providers / Registered Nurse | 163W00000X | RN357419 | Ohio |
Profile Details
| NPI number | 1023245362 |
|---|---|
| LBN Legal business name | Carroll, Latisha Janine |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 13th, 2009 |
| Last updated | Feb 4th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023245362 | NPPES |
| Ohio | MEDICAID | 0117919 |
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