Carothers, Pamela J

Carothers, Pamela J is an individual health care provider with primary practice located at 1720 S Burlington Dr , Muncie IN 47302-2771. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Carothers, Pamela J can be contacted via phone (765) 216-7620.

Contact Information

Primary practice address
1720 S Burlington Dr Muncie IN 47302-2771
Phone: (765) 216-7620
Fax: (765) 216-7681
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 71000313A Indiana

Profile Details

NPI number 1669521415
LBN Legal business name Carothers, Pamela J
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2007
Last updated Apr 11th, 2013 - about 11 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1669521415 NPPES
Indiana Other P00874031 RR MEDICARE
Indiana MEDICAID 200289020 RR MEDICARE

Popular Providers