Earle, John C

Earle, John C is an sole proprietor health care provider with primary practice located at 251 Croft St , Carrollton GA 30117-3863. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Medicine, which is considered as his primary health care specialty. Earle, John C can be contacted via phone (770) 834-7117.

Contact Information

Primary practice address
251 Croft St Carrollton GA 30117-3863
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X 032723 Georgia

Profile Details

NPI number 1376625087
LBN Legal business name Earle, John C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 20th, 2006
Last updated Jun 27th, 2015 - about 9 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 1376625087 NPPES
Georgia MEDICAID 00436488A

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