Losacco, Carl D

Losacco, Carl D is an individual health care provider with primary practice located at 262 Leroy George Dr , Clyde NC 28721-7430. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Losacco, Carl D can be contacted via phone (828) 452-8651.

Contact Information

Primary practice address
262 Leroy George Dr Clyde NC 28721-7430
Fax: (828) 452-8393
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X C003753 North Carolina

Profile Details

NPI number 1952482168
LBN Legal business name Losacco, Carl D
Credentials MSW
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2006
Last updated May 3rd, 2012 - about 12 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 1952482168 NPPES
North Carolina MEDICAID 6003021
North Carolina Other 135RY
North Carolina Other 541433

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