Mace, Karrie Michelle
Mace, Karrie Michelle is an individual health care provider with primary practice located at 242 Church Street , Clay WV 25043-0120. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Mace, Karrie Michelle can be contacted via phone (304) 587-2713.Contact Information
Primary practice address
242 Church Street
Clay WV 25043-0120
Phone: (304) 587-2713
Fax: (304) 587-4181
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / School | 103TS0200X |
Profile Details
| NPI number | 1821162488 |
|---|---|
| LBN Legal business name | Mace, Karrie Michelle |
| Credentials | M.A., ED.S |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 17th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1821162488 | NPPES |
| West Virginia | MEDICAID | 3810001065 |
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