Roller, Carolyn L
Roller, Carolyn L is an individual health care provider with primary practice located at 260 Fort Sanders West Blvd Ste 110 , Knoxville TN 37922-3355. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Roller, Carolyn L can be contacted via phone (865) 558-4491.Contact Information
Primary practice address
260 Fort Sanders West Blvd Ste 110
Knoxville TN 37922-3355
Phone: (865) 558-4491
Fax: (865) 558-4493
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 382 | Tennessee |
Profile Details
| NPI number | 1902854862 |
|---|---|
| LBN Legal business name | Roller, Carolyn L |
| Credentials | Occupational Therapist (OT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 4th, 2006 |
| Last updated | Jul 21st, 2022 - 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 | 1902854862 | NPPES |
| Tennessee | Other | 4325119 | BLUECROSS BLUESHIELD |
| Tennessee | Other | 5991431 | BLUECROSS BLUESHIELD |
| Tennessee | Other | P01122536 | BLUECROSS BLUESHIELD |
| Tennessee | Other | 9070481 | BLUECROSS BLUESHIELD |
| Tennessee | MEDICAID | 3656438 | BLUECROSS BLUESHIELD |
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