Ingram, Carolyne Michele

Ingram, Carolyne Michele is an sole proprietor health care provider with primary practice located at Mt. Shuksan Family Medicine 2216 Cornwall Ave, Bellingham WA 98225. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, which is considered as her primary health care specialty. Ingram, Carolyne Michele can be contacted via phone (360) 647-1900.

Contact Information

Primary practice address
Mt. Shuksan Family Medicine 2216 Cornwall Ave Bellingham WA 98225
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X AP30003413 Washington

Profile Details

NPI number 1811005333
LBN Legal business name Ingram, Carolyne Michele
Credentials ARNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 25th, 2006
Last updated Dec 12th, 2023 - about last year

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 1811005333 NPPES
Washington MEDICAID 9613050

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