Carroll, Mark R

Carroll, Mark R is an individual health care provider with primary practice located at 927 Franklin St Se Suite 100, Huntsville AL 35801-4306. He recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as his primary health care specialty. Carroll, Mark R can be contacted via phone (256) 536-9300.

Contact Information

Primary practice address
927 Franklin St Se Suite 100 Huntsville AL 35801-4306
Phone: (256) 536-9300
Fax: (256) 535-9032
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 5798 Alabama

Profile Details

NPI number 1366534745
LBN Legal business name Carroll, Mark R
Credentials M.S., CCC-A
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2006
Last updated May 20th, 2008 - about 16 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 1366534745 NPPES
Other 640003550 RAILROAD RETIREMENT
Other 51079118 RAILROAD RETIREMENT
MEDICAID 009801230 RAILROAD RETIREMENT

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