Carollo, John Andrew

Carollo, John Andrew is an sole proprietor health care provider with primary practice located at 5555 Montgomery Dr Apt 36 , Santa Rosa CA 95409-5597. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Carollo, John Andrew can be contacted via phone (707) 579-6896.

Contact Information

Primary practice address
5555 Montgomery Dr Apt 36 Santa Rosa CA 95409-5597
Phone: (707) 579-6896
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X AFE18635 California
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X AFE18635 California

Profile Details

NPI number 1558518290
LBN Legal business name Carollo, John Andrew
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 25th, 2008
Last updated Aug 25th, 2008 - 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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