Carroll, John E

Carroll, John E is an individual health care provider with primary practice located at 2720 Plaza Dr Suite 1400, Wausau WI 54401-4158. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Carroll, John E can be contacted via phone (715) 847-2004.

Contact Information

Primary practice address
2720 Plaza Dr Suite 1400 Wausau WI 54401-4158
Phone: (715) 847-2004
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 19661 Wisconsin

Profile Details

NPI number 1114935400
LBN Legal business name Carroll, John E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2006
Last updated Jul 8th, 2007 - about 18 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 1114935400 NPPES
Wisconsin MEDICAID 30260800

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