Mccarroll, Brian A
Mccarroll, Brian A is an sole proprietor health care provider with primary practice located at 80600 Van Dyke Rd , Bruce Twp MI 48065-1333. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mccarroll, Brian A can be contacted via phone (810) 798-6560.Contact Information
Primary practice address
80600 Van Dyke Rd
Bruce Twp MI 48065-1333
Phone: (810) 798-6560
Fax: (810) 798-6563
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | BM007710 | Michigan |
Profile Details
| NPI number | 1093779670 |
|---|---|
| LBN Legal business name | Mccarroll, Brian A |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 12th, 2006 |
| Last updated | Nov 23rd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093779670 | NPPES |
| Michigan | Other | 104279 | CARE CHOICES |
| Michigan | MEDICAID | 4679001 | CARE CHOICES |
| Michigan | Other | 000549480 | CARE CHOICES |
| Michigan | Other | 2351230003 | CARE CHOICES |
| Michigan | Other | 0154410164 | CARE CHOICES |
| Michigan | Other | C8031 | CARE CHOICES |
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