Carr, Charles L
Carr, Charles L is an sole proprietor health care provider with primary practice located at 1790 N Mastick Way Suite D, Nogales AZ 85621-1135. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Carr, Charles L can be contacted via phone (520) 394-4295.Contact Information
Primary practice address
1790 N Mastick Way Suite D
Nogales AZ 85621-1135
Phone: (520) 394-4295
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 11766 | Arizona |
Profile Details
| NPI number | 1750517074 |
|---|---|
| LBN Legal business name | Carr, Charles L |
| Credentials | PHD, LISAC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 1st, 2009 |
| Last updated | Jun 1st, 2009 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750517074 | NPPES |
| Arizona | Other | 11766 | ARIZONA BOARD OF BEHAVIORAL HEALTH |
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