Carroll, Charles Loyd

Carroll, Charles Loyd is an individual health care provider with primary practice located at 4778 S Scatterfield Rd , Anderson IN 46013-2908. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Independent Medical Examiner, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Carroll, Charles Loyd can be contacted via phone (765) 646-6331.

Contact Information

Primary practice address
4778 S Scatterfield Rd Anderson IN 46013-2908
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Independent Medical Examiner 202C00000X 02001626A Indiana
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 02001626A Indiana
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 02001626A Indiana

Profile Details

NPI number 1114927373
LBN Legal business name Carroll, Charles Loyd
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2005
Last updated Apr 14th, 2023 - about last year

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 1114927373 NPPES
Indiana Other 000000198187 BC/BS #
Indiana MEDICAID 200031800 BC/BS #
Indiana Other 080174096 BC/BS #
Indiana MEDICAID 2000382 BC/BS #

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