Carter, Virginia Kathleen

Carter, Virginia Kathleen is an sole proprietor health care provider with primary practice located at 5150 Bayou Blvd , Pensacola FL 32503-2158. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Carter, Virginia Kathleen can be contacted via phone (850) 416-7656.

Contact Information

Primary practice address
5150 Bayou Blvd Pensacola FL 32503-2158
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 1041S0200X Florida

Profile Details

NPI number 1144578121
LBN Legal business name Carter, Virginia Kathleen
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 22nd, 2012
Last updated Feb 16th, 2018 - about 6 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 1144578121 NPPES
Florida MEDICAID PENDING

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