Carr, John A

Carr, John A is an individual health care provider with primary practice located at 1717 Shaffer St , Kalamazoo MI 49048-1647. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery). Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) is his primary health care specialty. Carr, John A can be contacted via phone (269) 226-5456.

Contact Information

Primary practice address
1717 Shaffer St Kalamazoo MI 49048-1647
Fax: (269) 226-4940
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 036106764 Illinois
Allopathic & Osteopathic Physicians / Surgery 208600000X 4301067523 Michigan
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 4301067523 Michigan

Profile Details

NPI number 1457353658
LBN Legal business name Carr, John A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2005
Last updated Jul 8th, 2021 - about 3 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 1457353658 NPPES
Illinois MEDICAID 036106764
Illinois Other 286294
Illinois Other 370661230
Illinois Other P00320817
Illinois Other 036106764
Illinois Other 752951
Illinois MEDICAID 1457353658
Illinois Other CB3741
Illinois Other 06932023

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