Carroll, Michael G

Carroll, Michael G is an individual health care provider with primary practice located at 1460 Bluegrass Ave , Louisville KY 40215-1272. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Carroll, Michael G can be contacted via phone (502) 361-8496.

Contact Information

Primary practice address
1460 Bluegrass Ave Louisville KY 40215-1272
Phone: (502) 361-8496
Fax: (502) 361-3377
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 16212 Kentucky

Profile Details

NPI number 1609876978
LBN Legal business name Carroll, Michael G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2005
Last updated Apr 17th, 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 1609876978 NPPES
Kentucky MEDICAID 6590070600
Kentucky MEDICAID 100003350

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