Herrera, Carlton B

Herrera, Carlton B is an individual health care provider with primary practice located at 3509 Ethel James Dr , Chesapeake VA 23323-1249. He recently has only one registered license in Nursing Service Related Providers / Personal Care Attendant, which is considered as his primary health care specialty. Herrera, Carlton B can be contacted via phone (757) 692-8636.

Contact Information

Primary practice address
3509 Ethel James Dr Chesapeake VA 23323-1249
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Personal Care Attendant 3747P1801X HCO-212401 Virginia

Profile Details

NPI number 1184238701
LBN Legal business name Herrera, Carlton B
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2020
Last updated Sep 1st, 2020 - about 4 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 1184238701 NPPES
Virginia MEDICAID HCO-212401

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