Myers, Carl Ray
Myers, Carl Ray is an sole proprietor health care provider with primary practice located at 1410 E Gold Coast Rd Suite 500, Papillion NE 68046-5799. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Myers, Carl Ray can be contacted via phone (402) 932-0666.Contact Information
Primary practice address
1410 E Gold Coast Rd Suite 500
Papillion NE 68046-5799
Phone: (402) 932-0666
Fax: (406) 932-1376
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 035 | Nebraska |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 139 | Nebraska |
Profile Details
| NPI number | 1720188311 |
|---|---|
| LBN Legal business name | Myers, Carl Ray |
| Credentials | LMHP, LADC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 23rd, 2006 |
| Last updated | Aug 7th, 2010 - about 14 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 | 1720188311 | NPPES |
| Nebraska | MEDICAID | 10025611700 |
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