Bervoets, Carly Marie
Bervoets, Carly Marie is an individual health care provider with primary practice located at 2007 Old Lafayette Rd , Fort Oglethorpe GA 30742-3510. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Bervoets, Carly Marie can be contacted via phone (706) 861-9390.Contact Information
Primary practice address
2007 Old Lafayette Rd
Fort Oglethorpe GA 30742-3510
Phone: (706) 861-9390
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X |
Profile Details
| NPI number | 1376003343 |
|---|---|
| LBN Legal business name | Bervoets, Carly Marie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 25th, 2019 |
| Last updated | Mar 25th, 2019 - about 7 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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