Carroll, Josiah F.K.

Carroll, Josiah F.K. is an individual health care provider with primary practice located at 855 Illini Dr Ste 300, Silvis IL 61282-2904. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Carroll, Josiah F.K. can be contacted via phone (309) 281-2050.

Contact Information

Primary practice address
855 Illini Dr Ste 300 Silvis IL 61282-2904
Phone: (309) 281-2050
Fax: (309) 281-2059
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036071379 Illinois

Profile Details

NPI number 1437154507
LBN Legal business name Carroll, Josiah F.K.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2005
Last updated Apr 29th, 2015 - about 10 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 1437154507 NPPES
Iowa MEDICAID 1508697
Iowa Other 20097
Iowa Other 4796890014
Iowa Other 97786
Iowa MEDICAID 036071379
Iowa Other 4796890024
Iowa Other 020346
Iowa Other 97834
Iowa Other IL0110

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