Quick, Carly R

Quick, Carly R is an sole proprietor health care provider with primary practice located at 2145 Centennial Plz , Eugene OR 97401-2474. She recently has 4 registered licenses in different health care specialties including Agencies / Case Management, Agencies / Community/Behavioral Health, Student, Health Care / Student in an Organized Health Care Education/Training Program, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Quick, Carly R can be contacted via phone (541) 912-4085.

Contact Information

Primary practice address
2145 Centennial Plz Eugene OR 97401-2474
Phone: (541) 912-4085
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X
Agencies / Community/Behavioral Health 251S00000X Ohio
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X S.2001529-TRNE Ohio
Other Service Providers / Case Manager/Care Coordinator 171M00000X 21-QMHA-R-1030 Oregon

Profile Details

NPI number 1124685128
LBN Legal business name Quick, Carly R
Credentials QMHA
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 24th, 2019
Last updated May 5th, 2021 - about 4 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 1124685128 NPPES
Ohio MEDICAID 0350549
Ohio MEDICAID 1639231715

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