Carbonell, Christian

Carbonell, Christian is an individual health care provider with primary practice located at 63 Pitt St , Sharon PA 16146-2102. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Carbonell, Christian can be contacted via phone (724) 342-6604.

Contact Information

Primary practice address
63 Pitt St Sharon PA 16146-2102
Fax: (724) 342-1601
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 36-00-2957 Ohio
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X SC004315L Pennsylvania

Profile Details

NPI number 1952308322
LBN Legal business name Carbonell, Christian
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2005
Last updated Jan 28th, 2019 - 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 1952308322 NPPES
West Virginia MEDICAID 2104024-000
West Virginia MEDICAID 2040115
West Virginia MEDICAID 01773940

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