Carollo, Scott C

Carollo, Scott C is an individual health care provider with primary practice located at 7500 Mercy Rd , Omaha NE 68124-2319. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Cardiology, which is considered as his primary health care specialty. Carollo, Scott C can be contacted via phone (402) 398-5880.

Contact Information

Primary practice address
7500 Mercy Rd Omaha NE 68124-2319
Phone: (402) 398-5880
Fax: (402) 398-6716
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X MD-31835 Iowa
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 18677 Nebraska

Profile Details

NPI number 1760459093
LBN Legal business name Carollo, Scott C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 6th, 2006
Last updated Oct 30th, 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 1760459093 NPPES
Iowa MEDICAID 1907527
Iowa Other 31897
Iowa Other 35769

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