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Contact Information

JAZMON M CARROLL
3437 CAROLINE ST
SAINT LOUIS, MO63104-1111
 Phone: 314-977-2570
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopedic

2251X0800X 65 Physical Therapist in Private Practice
 

Athletic Trainer

2255A2300X
Indicates primary specialty

NPI Profile & details for JAZMON M CARROLL · (Female)

NPI Number 1780140244
Status Active
Credentials
Entity Individual
Enumeration date 02/20/2019
Last updated 07/27/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • ID License # PT-8045
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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