Maricle, Carlton A
Maricle, Carlton A is an individual health care provider with primary practice located at 97 W Gansevoort St , Little Falls NY 13365-1348. He recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as his primary health care specialty. Maricle, Carlton A can be contacted via phone (315) 823-1874.Contact Information
Primary practice address
97 W Gansevoort St
Little Falls NY 13365-1348
Phone: (315) 823-1874
Fax: (315) 823-4893
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | 000878-1 | New York |
Profile Details
| NPI number | 1457380842 |
|---|---|
| LBN Legal business name | Maricle, Carlton A |
| Credentials | MA CCCA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 30th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1457380842 | NPPES |
| New York | MEDICAID | 01106216 |
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