Carrasquillo, Jose R

Carrasquillo, Jose R is an individual health care provider with primary practice located at 1404 Willow Ln Suite B, North Wilkesboro NC 28659-3584. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Carrasquillo, Jose R can be contacted via phone (336) 903-7845.

Contact Information

Primary practice address
1404 Willow Ln Suite B North Wilkesboro NC 28659-3584
Phone: (336) 903-7845
Fax: (336) 903-7841
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 2013-00302 North Carolina

Profile Details

NPI number 1841387248
LBN Legal business name Carrasquillo, Jose R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2006
Last updated Aug 1st, 2017 - about 8 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 1841387248 NPPES
New York MEDICAID 02161397

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