Budgin, Carol Marie

Budgin, Carol Marie is an individual health care provider with primary practice located at 4320 Fir St Ste 320, East Chicago IN 46312-3076. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine, which is considered as her primary health care specialty. Budgin, Carol Marie can be contacted via phone (219) 554-4080.

Contact Information

Primary practice address
4320 Fir St Ste 320 East Chicago IN 46312-3076
Phone: (219) 554-4080
Fax: (219) 554-4085
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine 364SC0200X 28083700A Indiana

Profile Details

NPI number 1912056482
LBN Legal business name Budgin, Carol Marie
Credentials Clinical Nurse Specialist (CNS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2007
Last updated Dec 30th, 2010 - about 15 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 1912056482 NPPES
Indiana MEDICAID 200067750A
Indiana Other 28083700A
Indiana MEDICAID 200067750C

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