Carroll, Sam

Carroll, Sam is an sole proprietor health care provider with primary practice located at 12047 Lake Ave , Lakewood OH 44107-1891. He recently has only one registered license in Nursing Service Providers / Licensed Vocational Nurse, which is considered as his primary health care specialty. Carroll, Sam can be contacted via phone (216) 228-0158.

Contact Information

Primary practice address
12047 Lake Ave Lakewood OH 44107-1891
Phone: (216) 228-0158
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Vocational Nurse 164X00000X PN091042 Ohio

Profile Details

NPI number 1811216138
LBN Legal business name Carroll, Sam
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 26th, 2010
Last updated May 26th, 2010 - about 14 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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