Burns, Carol S.

Burns, Carol S. is an individual health care provider with primary practice located at 7900 W Jefferson Blvd Suite 201, Fort Wayne IN 46804-4128. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Burns, Carol S. can be contacted via phone (260) 432-2297.

Contact Information

Primary practice address
7900 W Jefferson Blvd Suite 201 Fort Wayne IN 46804-4128
Phone: (260) 432-2297
Fax: (260) 969-7266
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 71000477A Indiana

Profile Details

NPI number 1770535999
LBN Legal business name Burns, Carol S.
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Dec 18th, 2016 - about 8 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 1770535999 NPPES
Indiana MEDICAID 200297040

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