Carroll, Mary Shannon
Carroll, Mary Shannon is an individual health care provider with primary practice located at 140 Bergen Street E-1680, Newark NJ 07103. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Carroll, Mary Shannon can be contacted via phone (973) 972-1017.Contact Information
Primary practice address
140 Bergen Street E-1680
Newark NJ 07103
Phone: (973) 972-1017
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | 41YA00105600 | New Jersey |
Profile Details
| NPI number | 1508401134 |
|---|---|
| LBN Legal business name | Carroll, Mary Shannon |
| Credentials | AU.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 7th, 2019 |
| Last updated | Nov 7th, 2019 - 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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