Carroll, Colin Michael

Carroll, Colin Michael is an individual health care provider with primary practice located at 4000 Kresge Way , Louisville KY 40207-4605. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Body Imaging. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Carroll, Colin Michael can be contacted via phone (502) 897-9281.

Contact Information

Primary practice address
4000 Kresge Way Louisville KY 40207-4605
Phone: (502) 897-9281
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 49643 Tennessee
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 50836 Kentucky
Allopathic & Osteopathic Physicians / Body Imaging 2085B0100X 49643 Tennessee

Profile Details

NPI number 1295091148
LBN Legal business name Carroll, Colin Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2012
Last updated Jul 13th, 2021 - about 3 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 1295091148 NPPES
Kentucky MEDICAID 7100505170

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