Carroll, Matthew Bernard

Carroll, Matthew Bernard is an individual health care provider with primary practice located at 3101 Denny Ave Ste 240 , Pascagoula MS 39581-5307. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. Carroll, Matthew Bernard can be contacted via phone (228) 696-9995.

Contact Information

Primary practice address
3101 Denny Ave Ste 240 Pascagoula MS 39581-5307
Phone: (228) 696-9995
Fax: (228) 696-9906
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 23890 Mississippi

Profile Details

NPI number 1124247341
LBN Legal business name Carroll, Matthew Bernard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2007
Last updated May 2nd, 2022 - 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 1124247341 NPPES
Mississippi MEDICAID 06688263

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