Kooistra, Carol A

Kooistra, Carol A is an sole proprietor health care provider with primary practice located at 541 Floyd Rd , Spartanburg SC 29307-1520. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Kooistra, Carol A can be contacted via phone (864) 585-6179.

Contact Information

Primary practice address
541 Floyd Rd Spartanburg SC 29307-1520
Phone: (864) 585-6179
Fax: (864) 583-5403
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 13349 South Carolina

Profile Details

NPI number 1598741837
LBN Legal business name Kooistra, Carol A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 19th, 2005
Last updated Feb 13th, 2011 - about 14 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 1598741837 NPPES
North Carolina MEDICAID 89135C9
North Carolina Other B91448
North Carolina Other 135C9
North Carolina Other P00316714

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