Carpenter, Donnica

Carpenter, Donnica is an individual health care provider with primary practice located at 5417 Nighthawk Dr , Indianapolis IN 46254-4766. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Carpenter, Donnica can be contacted via phone (317) 413-1613.

Contact Information

Primary practice address
5417 Nighthawk Dr Indianapolis IN 46254-4766
Phone: (317) 413-1613
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 39001974A Indiana

Profile Details

NPI number 1104865492
LBN Legal business name Carpenter, Donnica
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2006
Last updated Jan 6th, 2022 - about 4 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 1104865492 NPPES
Indiana MEDICAID 100270530A

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