Shell, Carissa

Shell, Carissa is an individual health care provider with primary practice located at 1201 S Fort Thomas Ave , Fort Thomas KY 41075-2421. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Shell, Carissa can be contacted via phone (859) 781-5586.

Contact Information

Primary practice address
1201 S Fort Thomas Ave Fort Thomas KY 41075-2421
Phone: (859) 781-5586
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X

Profile Details

NPI number 1184794984
LBN Legal business name Shell, Carissa
Credentials Bachelor of Arts (BA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2006
Last updated Jul 8th, 2007 - about 17 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 1184794984 NPPES
Kentucky Other 184607 MEDICARE GROUP NUMBER

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