Carroll, Tristy Lynn
Carroll, Tristy Lynn is an individual health care provider with primary practice located at 102 2Nd Ave Sw Ste 215A , Jamestown ND 58401-4104. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Carroll, Tristy Lynn can be contacted via phone (701) 320-6488.Contact Information
Primary practice address
102 2Nd Ave Sw Ste 215A
Jamestown ND 58401-4104
Phone: (701) 320-6488
Fax: (701) 252-6074
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 683 | North Dakota |
Profile Details
NPI number | 1588766059 |
---|---|
LBN Legal business name | Carroll, Tristy Lynn |
Credentials | SLP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 3rd, 2006 |
Last updated | Jun 24th, 2021 - about 4 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 | 1588766059 | NPPES |
North Dakota | MEDICAID | 1460115 |
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