Carberry, Andrea R

Carberry, Andrea R is an individual health care provider with primary practice located at 130 2Nd St , Neenah WI 54956-2883. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Carberry, Andrea R can be contacted via phone (920) 969-7906.

Contact Information

Primary practice address
130 2Nd St Neenah WI 54956-2883
Phone: (920) 969-7906
Fax: (920) 969-7979
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 57157 Wisconsin
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 57157 Wisconsin

Profile Details

NPI number 1225357122
LBN Legal business name Carberry, Andrea R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2010
Last updated Dec 17th, 2020 - about 5 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 1225357122 NPPES
Wisconsin MEDICAID 1225357122

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