Carlisle, Marie R.

Carlisle, Marie R. is an individual health care provider with primary practice located at 2025 Morse Ave , Sacramento CA 95825-2115. She recently has only one registered license in Allopathic & Osteopathic Physicians / Nuclear Medicine, which is considered as her primary health care specialty. Carlisle, Marie R. can be contacted via phone (916) 973-5000.

Contact Information

Primary practice address
2025 Morse Ave Sacramento CA 95825-2115
Phone: (916) 973-5000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nuclear Medicine 207U00000X A69284 California

Profile Details

NPI number 1033297700
LBN Legal business name Carlisle, Marie R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Jul 8th, 2007 - about 17 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 1033297700 NPPES
California MEDICAID 00A692840

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