Kercsmar, Carolyn M

Kercsmar, Carolyn M is an individual health care provider with primary practice located at 11100 Euclid Ave , Cleveland OH 44106-1716. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Pulmonology, which is considered as her primary health care specialty. Kercsmar, Carolyn M can be contacted via phone (216) 844-7700.

Contact Information

Primary practice address
11100 Euclid Ave Cleveland OH 44106-1716
Phone: (216) 844-7700
Fax: (216) 286-6341
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Pulmonology 2080P0214X 35-046322 Ohio

Profile Details

NPI number 1538186507
LBN Legal business name Kercsmar, Carolyn M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 16th, 2006
Last updated Nov 14th, 2007 - about 17 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 1538186507 NPPES
Ohio Other 639844 AETNA
Ohio Other 000000028168 AETNA
Ohio Other 000000526034 AETNA
Ohio MEDICAID 0496486 AETNA
Ohio Other 496486 AETNA

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