Carroll, Ty B
Carroll, Ty B is an individual health care provider with primary practice located at W129N7055 Northfield Dr Division Of Endocrinology, Menomonee Falls WI 53051-0538. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism. Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism is his primary health care specialty. Carroll, Ty B can be contacted via phone (262) 253-7155.Contact Information
Primary practice address
W129N7055 Northfield Dr Division Of Endocrinology
Menomonee Falls WI 53051-0538
Phone: (262) 253-7155
Fax: (262) 253-7140
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 46886 | Wisconsin |
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | 46886 | Wisconsin |
Profile Details
| NPI number | 1558312942 |
|---|---|
| LBN Legal business name | Carroll, Ty B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 12th, 2006 |
| Last updated | Feb 14th, 2013 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558312942 | NPPES |
| Other | 007806261E | HUMANA | |
| MEDICAID | 1558312942 | HUMANA |
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