Carroll, Charles W

Carroll, Charles W is an individual health care provider with primary practice located at 56 Cedar St , Tipton IA 52772-1705. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Carroll, Charles W can be contacted via phone (563) 886-2195.

Contact Information

Primary practice address
56 Cedar St Tipton IA 52772-1705
Phone: (563) 886-2195
Fax: (563) 886-3268
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 25952 Iowa

Profile Details

NPI number 1962445890
LBN Legal business name Carroll, Charles W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Mar 18th, 2008 - about 17 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 1962445890 NPPES
Iowa MEDICAID 1252346

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