Mcdonald, Carolyn

Mcdonald, Carolyn is an sole proprietor health care provider with primary practice located at 58887 Bremen Hwy , Mishawaka IN 46544-6414. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Nursing Service Providers / Registered Nurse is her primary health care specialty. Mcdonald, Carolyn can be contacted via phone (574) 255-6182.

Contact Information

Primary practice address
58887 Bremen Hwy Mishawaka IN 46544-6414
Phone: (574) 255-6182
Fax: (574) 255-6376
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 28130755A Indiana
Nursing Service Providers / Registered Nurse 163W00000X 4704207956 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 09000046A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 4704207956 Michigan

Profile Details

NPI number 1902926041
LBN Legal business name Mcdonald, Carolyn
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 30th, 2007
Last updated Jul 8th, 2007 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902926041 NPPES
Indiana Other 000000277513 ANTHEM ID NUMBER

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