Carter, Winfred

Carter, Winfred is an individual health care provider with primary practice located at 604 Broadway St , Vallejo CA 94590-3323. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Carter, Winfred can be contacted via phone (707) 558-6432.

Contact Information

Primary practice address
604 Broadway St Vallejo CA 94590-3323
Phone: (707) 558-6432
Fax: (707) 558-8047
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 2439 California

Profile Details

NPI number 1740469949
LBN Legal business name Carter, Winfred
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2007
Last updated Oct 24th, 2007 - about 18 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 1740469949 NPPES
California Other 4825 DRUG MEDICAL

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