Carroll, Ronald Eugene

Carroll, Ronald Eugene is an individual health care provider with primary practice located at 823 Center Ave , Payette ID 83661-2535. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Carroll, Ronald Eugene can be contacted via phone (208) 642-3396.

Contact Information

Primary practice address
823 Center Ave Payette ID 83661-2535
Phone: (208) 642-3396
Fax: (208) 642-9060
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X M-4116 Idaho

Profile Details

NPI number 1790821122
LBN Legal business name Carroll, Ronald Eugene
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2007
Last updated Jun 14th, 2022 - about 3 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 1790821122 NPPES
Other 000010005775 REGENCE BLUE SHIELD
Other R108734 REGENCE BLUE SHIELD
MEDICAID 003636500 REGENCE BLUE SHIELD
Other 73437 REGENCE BLUE SHIELD
Other 820525763 REGENCE BLUE SHIELD
MEDICAID 231902 REGENCE BLUE SHIELD
Other D80174720 REGENCE BLUE SHIELD

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