Wells, Carlos John

Wells, Carlos John is an individual health care provider with primary practice located at 9 Union Street , Roosevelt NY 11575. He recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as his primary health care specialty. Wells, Carlos John can be contacted via phone (516) 379-2138.

Contact Information

Primary practice address
9 Union Street Roosevelt NY 11575
Phone: (516) 379-2138
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 267953 New York

Profile Details

NPI number 1912109356
LBN Legal business name Wells, Carlos John
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2007
Last updated Jul 8th, 2007 - about 18 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 1912109356 NPPES
New York MEDICAID 02415024

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