Mccarroll, Connie Jo
Mccarroll, Connie Jo is an individual health care provider with primary practice located at 313 Parks Hall , Athens OH 45701. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Mccarroll, Connie Jo can be contacted via phone (740) 593-2444.Contact Information
Primary practice address
313 Parks Hall
Athens OH 45701
Phone: (740) 593-2444
Fax: (740) 593-0905
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 34002567 | Ohio |
Profile Details
| NPI number | 1578534277 |
|---|---|
| LBN Legal business name | Mccarroll, Connie Jo |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 30th, 2006 |
| Last updated | Mar 7th, 2023 - about last year |
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 | 1578534277 | NPPES |
| Ohio | Other | 34002567 | OHIO LICENSE |
| Ohio | MEDICAID | 0535326 | OHIO LICENSE |
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