Carroll, John
Carroll, John is an individual health care provider with primary practice located at 1 Childrens Way # 653 , Little Rock AR 72202-3500. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Pulmonology, which is considered as his primary health care specialty. Carroll, John can be contacted via phone (501) 364-1100.Contact Information
Primary practice address
1 Childrens Way # 653
Little Rock AR 72202-3500
Phone: (501) 364-1100
Fax: (501) 364-4082
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Pulmonology | 2080P0214X | E-2619 | Arkansas |
Profile Details
| NPI number | 1104916774 |
|---|---|
| LBN Legal business name | Carroll, John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 13th, 2006 |
| Last updated | Nov 14th, 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 | 1104916774 | NPPES |
| Arkansas | MEDICAID | 140723001 |
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