Carr, Gary D
Carr, Gary D is an individual health care provider with primary practice located at 11020 State Route 250 , Lawrenceville IL 62439-3379. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Carr, Gary D can be contacted via phone (618) 943-2609.Contact Information
Primary practice address
11020 State Route 250
Lawrenceville IL 62439-3379
Phone: (618) 943-2609
Fax: (618) 943-6409
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036058645 | Illinois |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 036058645 | Illinois |
Profile Details
| NPI number | 1245264183 |
|---|---|
| LBN Legal business name | Carr, Gary D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 10th, 2006 |
| Last updated | Sep 9th, 2019 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245264183 | NPPES |
| Illinois | Other | 003230 | HEALTH ALLIANCE INS |
| Illinois | Other | 5132004 | HEALTH ALLIANCE INS |
| Illinois | Other | 1729885 | HEALTH ALLIANCE INS |
| Illinois | MEDICAID | 376006178007 | HEALTH ALLIANCE INS |
| Illinois | MEDICAID | 036058645 | HEALTH ALLIANCE INS |
| Illinois | Other | 838915 | HEALTH ALLIANCE INS |
| Illinois | Other | 131890 | HEALTH ALLIANCE INS |
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