Magnuson, Carol L.

Magnuson, Carol L. is an individual health care provider with primary practice located at 1701 N Main St Suite D, Shelbyville TN 37160-2303. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Magnuson, Carol L. can be contacted via phone (931) 685-4060.

Contact Information

Primary practice address
1701 N Main St Suite D Shelbyville TN 37160-2303
Phone: (931) 685-4060
Fax: (931) 685-4062
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD0000015928 Tennessee

Profile Details

NPI number 1417928730
LBN Legal business name Magnuson, Carol L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2006
Last updated Nov 5th, 2009 - about 16 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 1417928730 NPPES
Tennessee MEDICAID 3008500
Tennessee Other 3002741

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