Parker, Carrie
Parker, Carrie is an individual health care provider with primary practice located at 1501 Olive St , Lawrenceville IL 62439-2269. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Parker, Carrie can be contacted via phone (618) 943-3451.Contact Information
Primary practice address
1501 Olive St
Lawrenceville IL 62439-2269
Phone: (618) 943-3451
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X |
Profile Details
| NPI number | 1033612056 |
|---|---|
| LBN Legal business name | Parker, Carrie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 15th, 2018 |
| Last updated | Mar 15th, 2018 - about 6 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 | 1033612056 | NPPES |
| Illinois | MEDICAID | 20150720643208 |
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