Carr, Dennis P

Carr, Dennis P is an individual health care provider with primary practice located at 1900 State Street , Chester IL 62233-1116. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as his primary health care specialty. Carr, Dennis P can be contacted via phone (618) 826-4581.

Contact Information

Primary practice address
1900 State Street Chester IL 62233-1116
Fax: (618) 826-4813
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 041-155390 Illinois

Profile Details

NPI number 1417105909
LBN Legal business name Carr, Dennis P
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2008
Last updated Sep 9th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1417105909 NPPES
Other 791551 MEDICARE LEGACY

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