Waterstradt, Carolyn
Waterstradt, Carolyn is an individual health care provider with primary practice located at 800 E Ellis Rd , Norton Shores MI 49441-5646. She 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 / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Waterstradt, Carolyn can be contacted via phone (231) 799-4810.Contact Information
Primary practice address
800 E Ellis Rd
Norton Shores MI 49441-5646
Phone: (231) 799-4810
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | C-02753 | Michigan |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 6801094245 | Michigan |
Profile Details
| NPI number | 1871996918 |
|---|---|
| LBN Legal business name | Waterstradt, Carolyn |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 3rd, 2014 |
| Last updated | Mar 12th, 2015 - about 9 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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