Carroll, Maria C

Carroll, Maria C is an individual health care provider with primary practice located at 550 Munson Ave, Suite 200 , Traverse City MI 49686. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Carroll, Maria C can be contacted via phone (231) 935-8717.

Contact Information

Primary practice address
550 Munson Ave, Suite 200 Traverse City MI 49686
Phone: (231) 935-8717
Fax: (231) 935-9230
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 4301077553 Michigan

Profile Details

NPI number 1437268661
LBN Legal business name Carroll, Maria C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Jun 4th, 2013 - about 11 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 1437268661 NPPES
Other M008816 TRICARE
MEDICAID 4317989 TRICARE
Other 070010119 TRICARE
Other 0702803192 TRICARE
Other 38-2170687 TRICARE

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