Carr, Brittany Marie

Carr, Brittany Marie is an individual health care provider with primary practice located at 1225 E Coolspring Ave Ste 200 , Michigan City IN 46360-6312. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Carr, Brittany Marie can be contacted via phone (219) 861-8161.

Contact Information

Primary practice address
1225 E Coolspring Ave Ste 200 Michigan City IN 46360-6312
Phone: (219) 861-8161
Fax: (219) 873-9504
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 99063492A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 99063492A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 0110003697 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 10001728A Indiana

Profile Details

NPI number 1346510898
LBN Legal business name Carr, Brittany Marie
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 30th, 2011
Last updated Apr 14th, 2023 - about last year

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 1346510898 NPPES
Indiana MEDICAID 300008112

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