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
Phone: (360) 647-1900
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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 2 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 | 1811005333 | NPPES |
Washington | MEDICAID | 9613050 |
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