Carberry, Carol Mehlberg

Carberry, Carol Mehlberg is an sole proprietor health care provider with primary practice located at 745 Gilda Dr , St Augustine FL 32086-7605. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, which is considered as her primary health care specialty. Carberry, Carol Mehlberg can be contacted via phone (904) 794-7968.

Contact Information

Primary practice address
745 Gilda Dr St Augustine FL 32086-7605
Phone: (904) 794-7968
Fax: (904) 794-7968
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X

Profile Details

NPI number 1497941835
LBN Legal business name Carberry, Carol Mehlberg
Credentials Bachelor of Arts (BA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 19th, 2007
Last updated Oct 14th, 2008 - 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 1497941835 NPPES
Florida MEDICAID 812228800

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