Garrison, Carla
Garrison, Carla is an sole proprietor health care provider with primary practice located at 1530 E. Bradford Parkway , Springfield MO 65804-4213. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Garrison, Carla can be contacted via phone (417) 877-0630.Contact Information
Primary practice address
1530 E. Bradford Parkway
Springfield MO 65804-4213
Phone: (417) 877-0630
Fax: (417) 877-0695
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 36789 | Missouri |
Profile Details
| NPI number | 1558361659 |
|---|---|
| LBN Legal business name | Garrison, Carla |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 29th, 2005 |
| Last updated | Apr 27th, 2016 - about 10 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 | 1558361659 | NPPES |
| Missouri | MEDICAID | 203402029 |
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