King, Carroll J.
King, Carroll J. is an individual health care provider with primary practice located at 404 Keene St , Columbia MO 65201-6626. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine. Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine is her primary health care specialty. King, Carroll J. can be contacted via phone (573) 219-4270.Contact Information
Primary practice address
404 Keene St
Columbia MO 65201-6626
Phone: (573) 219-4270
Fax: (573) 219-4279
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 40586 | Texas |
| Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine | 2080P0203X | 1033 | Missouri |
Profile Details
| NPI number | 1487753380 |
|---|---|
| LBN Legal business name | King, Carroll J. |
| Credentials | M.D., J.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 21st, 2006 |
| Last updated | Oct 12th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487753380 | NPPES |
| Texas | MEDICAID | 169404401 |
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