Carroll, Peter R.

Carroll, Peter R. is an individual health care provider with primary practice located at 1600 Divisadero St Fl 3 , San Francisco CA 94115-3010. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Carroll, Peter R. can be contacted via phone (415) 353-7171.

Contact Information

Primary practice address
1600 Divisadero St Fl 3 San Francisco CA 94115-3010
Phone: (415) 353-7171
Fax: (415) 353-7093
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X A35750 California

Profile Details

NPI number 1366461667
LBN Legal business name Carroll, Peter R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Jul 24th, 2008 - about 16 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 1366461667 NPPES
California MEDICAID 00A357500

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