Chisholm, Carrie Marie
Chisholm, Carrie Marie is an individual health care provider with primary practice located at 1003 E Main St Ste 104 , Medford OR 97504. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Chisholm, Carrie Marie can be contacted via phone (541) 326-4905.Contact Information
Primary practice address
1003 E Main St Ste 104
Medford OR 97504
Phone: (541) 326-4905
Fax: (541) 608-2888
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 08-12-06 | Oregon |
Profile Details
| NPI number | 1336443217 |
|---|---|
| LBN Legal business name | Chisholm, Carrie Marie |
| Credentials | B.S., CADC1 |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 6th, 2011 |
| Last updated | Apr 17th, 2019 - 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.
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