Fry, Carl R

Fry, Carl R is an sole proprietor health care provider with primary practice located at 1020 Trump Rd Nw Ste 4 , Carrollton OH 44615-8423. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Fry, Carl R can be contacted via phone (330) 627-0884.

Contact Information

Primary practice address
1020 Trump Rd Nw Ste 4 Carrollton OH 44615-8423
Fax: (330) 627-0885
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 34.011206 Ohio

Profile Details

NPI number 1265796049
LBN Legal business name Fry, Carl R
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 27th, 2012
Last updated Jun 16th, 2018 - about 6 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 1265796049 NPPES
Ohio MEDICAID 0121584

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