Smith, Carol Jean

Smith, Carol Jean is an sole proprietor health care provider with primary practice located at 80 St Hwy 310 Ste 1 , Canton NY 13617-1493. She recently has only one registered license in Nursing Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Smith, Carol Jean can be contacted via phone (315) 386-2189.

Contact Information

Primary practice address
80 St Hwy 310 Ste 1 Canton NY 13617-1493
Fax: (315) 386-2435
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Addiction (Substance Use Disorder) 163WA0400X 205555 New York

Profile Details

NPI number 1376325662
LBN Legal business name Smith, Carol Jean
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 20th, 2023
Last updated Oct 20th, 2023 - about last year

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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