Carbo, Glen Paul

Carbo, Glen Paul is an individual health care provider with primary practice located at 850 Kaliste Saloom Rd Ste 122 , Lafayette LA 70508-4230. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Carbo, Glen Paul can be contacted via phone (337) 235-9355.

Contact Information

Primary practice address
850 Kaliste Saloom Rd Ste 122 Lafayette LA 70508-4230
Phone: (337) 235-9355
Fax: (337) 235-9356
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN086810 AP04260 Louisiana

Profile Details

NPI number 1598724585
LBN Legal business name Carbo, Glen Paul
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2006
Last updated Jul 30th, 2019 - about 6 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 1598724585 NPPES
Louisiana MEDICAID 1163619

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