Federico, Carollyn
Federico, Carollyn is an sole proprietor health care provider with primary practice located at 20 Madbury Road , Durham NH 03824. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Federico, Carollyn can be contacted via phone (603) 664-6888.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 952 | New Hampshire |
Profile Details
| NPI number | 1073652228 |
|---|---|
| LBN Legal business name | Federico, Carollyn |
| Credentials | LICSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 5th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1073652228 | NPPES |
| New Hampshire | MEDICAID | 30421697 |
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