Carvajal, Joseph Emmanuel

Carvajal, Joseph Emmanuel is an sole proprietor health care provider with primary practice located at 124 Mallard St. , Greenville SC 29601-4046. He recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as his primary health care specialty. Carvajal, Joseph Emmanuel can be contacted via phone (864) 241-1040.

Contact Information

Primary practice address
124 Mallard St. Greenville SC 29601-4046
Phone: (864) 241-1040
Fax: (864) 241-8189
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1538429394
LBN Legal business name Carvajal, Joseph Emmanuel
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 25th, 2012
Last updated May 25th, 2012 - about 14 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 1538429394 NPPES
South Carolina MEDICAID 301100

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