Patrick, Carol L
Patrick, Carol L is an sole proprietor health care provider with primary practice located at 1037 W Market St , Lima OH 45805-2729. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Patrick, Carol L can be contacted via phone (419) 222-5077.Contact Information
Primary practice address
1037 W Market St
Lima OH 45805-2729
Phone: (419) 222-5077
Fax: (419) 228-5343
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 3947 | Ohio |
Profile Details
| NPI number | 1679578561 |
|---|---|
| LBN Legal business name | Patrick, Carol L |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 16th, 2005 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1679578561 | NPPES |
| Ohio | MEDICAID | 0691121 |
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