Carson, Isaiah

Carson, Isaiah is an sole proprietor health care provider with primary practice located at 1200 E Home Rd , Springfield OH 45503-2728. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is his primary health care specialty. Carson, Isaiah can be contacted via phone (937) 522-0961.

Contact Information

Primary practice address
1200 E Home Rd Springfield OH 45503-2728
Phone: (937) 522-0961
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1316578271
LBN Legal business name Carson, Isaiah
Credentials CMS QMHS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 30th, 2020
Last updated Jan 30th, 2020 - 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.

Request for update

Popular Providers