Carroll, Richard Paul

Carroll, Richard Paul is an individual health care provider with primary practice located at 4887 E Lake Harriet Blvd , Minneapolis MN 55419-5222. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Carroll, Richard Paul can be contacted via phone (612) 325-0317.

Contact Information

Primary practice address
4887 E Lake Harriet Blvd Minneapolis MN 55419-5222
Phone: (612) 325-0317
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 21566 Minnesota

Profile Details

NPI number 1407828007
LBN Legal business name Carroll, Richard Paul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2006
Last updated Apr 27th, 2010 - about 14 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 1407828007 NPPES
Minnesota MEDICAID 648872200
Minnesota Other 6D561CA
Minnesota Other 31260500

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