Carroll, Heather
Carroll, Heather is an sole proprietor health care provider with primary practice located at 430 E Cleveland Rd , Granger IN 46530-5624. She recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living, Mental Illness, which is considered as her primary health care specialty. Carroll, Heather can be contacted via phone (574) 271-3305.Contact Information
Primary practice address
430 E Cleveland Rd
Granger IN 46530-5624
Phone: (574) 271-3305
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Assisted Living, Mental Illness | 3104A0625X |
Profile Details
| NPI number | 1346649688 |
|---|---|
| LBN Legal business name | Carroll, Heather |
| Credentials | Certified Occupational Therapy Assistant (COTA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 21st, 2014 |
| Last updated | Aug 21st, 2014 - about 12 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 | 1346649688 | NPPES |
| Indiana | Other | 32001597A | COTA |
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