Hollister, Carolyn
Hollister, Carolyn is an sole proprietor health care provider with primary practice located at 1605 N Ankeny Blvd Ste 110 , Ankeny IA 50023-4163. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Hollister, Carolyn can be contacted via phone (515) 520-8164.Contact Information
Primary practice address
1605 N Ankeny Blvd Ste 110
Ankeny IA 50023-4163
Phone: (515) 520-8164
Fax: (515) 209-7756
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 107365 | Iowa |
Profile Details
| NPI number | 1932778610 |
|---|---|
| LBN Legal business name | Hollister, Carolyn |
| Credentials | LISW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 17th, 2021 |
| Last updated | Aug 16th, 2023 - about 2 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 | 1932778610 | NPPES |
| Iowa | Other | 107365 | SOCIAL WORK LICENSE |
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