Carroll, Janet

Carroll, Janet is an individual health care provider with primary practice located at 5111 N Bend Dr , Fort Wayne IN 46804-1753. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Nurse Massage Therapist (NMT), Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist. Nursing Service Providers / Nurse Massage Therapist (NMT) is her primary health care specialty. Carroll, Janet can be contacted via phone (260) 436-8807.

Contact Information

Primary practice address
5111 N Bend Dr Fort Wayne IN 46804-1753
Phone: (260) 436-8807
Fax: (260) 436-2767
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Nurse Massage Therapist (NMT) 163WM1400X 28057959A Indiana
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X MT20901877 Indiana

Profile Details

NPI number 1124494505
LBN Legal business name Carroll, Janet
Credentials R.N., M.T.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2015
Last updated Aug 19th, 2015 - about 11 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 1124494505 NPPES
Indiana Other MT20901877 MASSAGE THERAPIST
Indiana Other 28057959A MASSAGE THERAPIST

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