Mccarroll, John R
Mccarroll, John R is an individual health care provider with primary practice located at 201 Pennsylvania Pkwy #200, Indianapolis IN 46280-2301. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Mccarroll, John R can be contacted via phone (317) 812-1200.Contact Information
Primary practice address
201 Pennsylvania Pkwy #200
Indianapolis IN 46280-2301
Phone: (317) 812-1200
Fax: (317) 208-1551
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | 01029928A | Indiana |
Profile Details
| NPI number | 1578517371 |
|---|---|
| LBN Legal business name | Mccarroll, John R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 19th, 2006 |
| Last updated | Jun 11th, 2008 - about 17 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 | 1578517371 | NPPES |
| Indiana | MEDICAID | 100461110A | |
| Indiana | Other | 200013394 |
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