Carroll, Olga B

Carroll, Olga B is an individual health care provider with primary practice located at 655 W 8Th St , Jacksonville FL 32209-6511. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant, which is considered as her primary health care specialty. Carroll, Olga B can be contacted via phone (904) 244-0411.

Contact Information

Primary practice address
655 W 8Th St Jacksonville FL 32209-6511
Phone: (904) 244-0411
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant 367H00000X 006235 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant 367H00000X AA124 Florida

Profile Details

NPI number 1144506171
LBN Legal business name Carroll, Olga B
Credentials Associate of Arts (AA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2011
Last updated Jun 6th, 2017 - about 7 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 1144506171 NPPES
Florida Other G01UT BCBS
Florida MEDICAID 014251100 BCBS

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