Bangert, Carolyn
Bangert, Carolyn is an individual health care provider with primary practice located at 6296 E Grant Rd Ste 180 , Tucson AZ 85712-5832. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Bangert, Carolyn can be contacted via phone (520) 290-8555.Contact Information
Primary practice address
6296 E Grant Rd Ste 180
Tucson AZ 85712-5832
Phone: (520) 290-8555
Fax: (520) 290-6470
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | M4704 | Texas |
Profile Details
| NPI number | 1518045517 |
|---|---|
| LBN Legal business name | Bangert, Carolyn |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 1st, 2006 |
| Last updated | Sep 7th, 2021 - about 3 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 | 1518045517 | NPPES |
| Texas | MEDICAID | 186297102 | |
| Texas | Other | 8G7805 |
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