C Iccarelli, Karen Jill
C Iccarelli, Karen Jill is an individual health care provider with primary practice located at 16605 Kendle Rd , Williamsport MD 21795-1614. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. C Iccarelli, Karen Jill can be contacted via phone (301) 223-1241.Contact Information
Primary practice address
16605 Kendle Rd
Williamsport MD 21795-1614
Phone: (301) 223-1241
Fax: (301) 223-1240
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | D0052136 | Maryland |
Profile Details
| NPI number | 1508894023 |
|---|---|
| LBN Legal business name | C Iccarelli, Karen Jill |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 30th, 2006 |
| Last updated | Oct 16th, 2012 - about 14 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 | 1508894023 | NPPES |
| Maryland | MEDICAID | 401020500 |
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