Nasralla, Carole

Nasralla, Carole is an individual health care provider with primary practice located at 27 B Talisman Dr. #3, Pagosa Springs CO 81147. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Nasralla, Carole can be contacted via phone (970) 731-5252.

Contact Information

Primary practice address
27 B Talisman Dr. #3 Pagosa Springs CO 81147
Phone: (970) 731-5252
Fax: (970) 731-9922
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 40509 Colorado

Profile Details

NPI number 1386672491
LBN Legal business name Nasralla, Carole
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2006
Last updated Mar 13th, 2015 - about 9 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 1386672491 NPPES
New Mexico Other 000N5453 PROVIDER MEDICAID NUMBER
New Mexico Other 8HBL75 PROVIDER MEDICAID NUMBER
New Mexico MEDICAID 000K3526 PROVIDER MEDICAID NUMBER
New Mexico Other HSZ196 PROVIDER MEDICAID NUMBER
New Mexico MEDICAID 61453251 PROVIDER MEDICAID NUMBER

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