Carroll, Charles Patrick
Carroll, Charles Patrick is an individual health care provider with primary practice located at 89 Sylvania Dr 2Nd Fl, Dayton OH 45440-3237. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Retina Specialist. Allopathic & Osteopathic Physicians / Retina Specialist is his primary health care specialty. Carroll, Charles Patrick can be contacted via phone (937) 427-8900.Contact Information
Primary practice address
89 Sylvania Dr 2Nd Fl
Dayton OH 45440-3237
Phone: (937) 427-8900
Fax: (937) 427-1710
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 35038423 | Ohio |
Allopathic & Osteopathic Physicians / Retina Specialist | 207WX0107X | 35038423 | Ohio |
Profile Details
NPI number | 1780681239 |
---|---|
LBN Legal business name | Carroll, Charles Patrick |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 30th, 2005 |
Last updated | Jul 10th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1780681239 | NPPES |
Ohio | MEDICAID | 0436415 |
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