Carroll, Carolyn B

Carroll, Carolyn B is an individual health care provider with primary practice located at 8 East Main Street Suite 101, Clinton CT 06413-2058. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Dermatopathology. Allopathic & Osteopathic Physicians / Dermatology is her primary health care specialty. Carroll, Carolyn B can be contacted via phone (860) 669-6156.

Contact Information

Primary practice address
8 East Main Street Suite 101 Clinton CT 06413-2058
Phone: (860) 669-6156
Fax: (860) 664-0285
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X CT034871 Connecticut
Allopathic & Osteopathic Physicians / Dermatopathology 207ND0900X CT034871 Connecticut

Profile Details

NPI number 1376557199
LBN Legal business name Carroll, Carolyn B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2006
Last updated Jul 11th, 2010 - about 15 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 1376557199 NPPES
Connecticut MEDICAID 001348714

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