Carroll, Thomas Joseph

Carroll, Thomas Joseph is an individual health care provider with primary practice located at 2720 Stone Park Blvd , Sioux City IA 51104-3734. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Carroll, Thomas Joseph can be contacted via phone (712) 279-3226.

Contact Information

Primary practice address
2720 Stone Park Blvd Sioux City IA 51104-3734
Phone: (712) 279-3226
Fax: (712) 279-7034
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 24471 Iowa

Profile Details

NPI number 1932161585
LBN Legal business name Carroll, Thomas Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2006
Last updated Jan 15th, 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 1932161585 NPPES
Iowa MEDICAID 2042218

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