Jackson, Carrie Rose Klotz

Jackson, Carrie Rose Klotz is an individual health care provider with primary practice located at 134 Homer Ave , Cortland NY 13045-1206. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Jackson, Carrie Rose Klotz can be contacted via phone (410) 409-5844.

Contact Information

Primary practice address
134 Homer Ave Cortland NY 13045-1206
Phone: (410) 409-5844
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 256859 New York
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD0000045187 Tennessee

Profile Details

NPI number 1851595334
LBN Legal business name Jackson, Carrie Rose Klotz
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2007
Last updated Oct 25th, 2011 - about 13 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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