Smith, Carol Alice

Smith, Carol Alice is an sole proprietor health care provider with primary practice located at 1717 Taylor Ave , Racine WI 53403-2405. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Smith, Carol Alice can be contacted via phone (262) 638-6480.

Contact Information

Primary practice address
1717 Taylor Ave Racine WI 53403-2405
Phone: (262) 638-6480
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 16026-131 Wisconsin

Profile Details

NPI number 1720453988
LBN Legal business name Smith, Carol Alice
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 14th, 2015
Last updated Dec 14th, 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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