Carroll, Elizabeth Hendrickson

Carroll, Elizabeth Hendrickson is an sole proprietor health care provider with primary practice located at 2500 Metrohealth Dr , Cleveland OH 44109-1900. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Carroll, Elizabeth Hendrickson can be contacted via phone (216) 778-7800.

Contact Information

Primary practice address
2500 Metrohealth Dr Cleveland OH 44109-1900
Phone: (216) 778-7800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X APRN.CNP.12592 Ohio

Profile Details

NPI number 1356636914
LBN Legal business name Carroll, Elizabeth Hendrickson
Credentials RN, PMHNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 12th, 2011
Last updated Nov 6th, 2023 - about 3 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 1356636914 NPPES
Ohio Other 9338635 PARTNERS PHYSICIAN GROUP MEDICARE GROUP #
Ohio Other 2551671 PARTNERS PHYSICIAN GROUP MEDICARE GROUP #
Ohio MEDICAID 0103086 PARTNERS PHYSICIAN GROUP MEDICARE GROUP #
Ohio Other 1841239274 PARTNERS PHYSICIAN GROUP MEDICARE GROUP #

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