Fosso, Carol K
Fosso, Carol K is an individual health care provider with primary practice located at 70 E 91St St Ste 204 , Indianapolis IN 46240-1564. She recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy, which is considered as her primary health care specialty. Fosso, Carol K can be contacted via phone (317) 872-4213.Contact Information
Primary practice address
70 E 91St St Ste 204
Indianapolis IN 46240-1564
Phone: (317) 872-4213
Fax: (317) 872-6388
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Allergy | 207KA0200X | 1037197 | Indiana |
Profile Details
| NPI number | 1356332001 |
|---|---|
| LBN Legal business name | Fosso, Carol K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 2nd, 2005 |
| Last updated | Apr 3rd, 2019 - about 5 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 | 1356332001 | NPPES |
| Indiana | MEDICAID | 100132220 |
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