Carroll, Robert Matthew

Carroll, Robert Matthew is an individual health care provider with primary practice located at 20162 Sw Birch St Suite 200, Newport Beach CA 92660-0787. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Carroll, Robert Matthew can be contacted via phone (949) 553-3330.

Contact Information

Primary practice address
20162 Sw Birch St Suite 200 Newport Beach CA 92660-0787
Phone: (949) 553-3330
Fax: (949) 631-9012
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X A69851 California

Profile Details

NPI number 1295875854
LBN Legal business name Carroll, Robert Matthew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2007
Last updated May 13th, 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 1295875854 NPPES
California Other 00A698510 BLUESHIELD OF CALIFORNIA
California Other AETNA BLUESHIELD OF CALIFORNIA
California Other WA69851A BLUESHIELD OF CALIFORNIA

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