Nina Carroll Md, Llc

LBN: Nina Carroll Md, Llc
Nina Carroll Md, Llc is an health care organization with primary practice located at 55 Pond Avenue , Brookline MA 02445. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Nina Carroll Md, Llc can be contacted via phone (617) 232-0202, or through Carroll, Nina M via phone (617) 232-0202.

Contact Information

Primary practice address
55 Pond Avenue Brookline MA 02445
Phone: (617) 232-0202
Fax: (617) 739-7203
Website:
Map and Directions
Authorized official contact:
Name: Carroll, Nina M Doctor of Medicine (MD)
Phone: (617) 232-0202

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 57518 Massachusetts

Profile Details

NPI number 1851680698
LBN Legal business name Nina Carroll Md, Llc
DBA Doing business as
Authorized official Carroll, Nina M Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 1st, 2011
Last updated Apr 7th, 2011 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851680698 NPPES
Massachusetts MEDICAID 3027228

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