Northrup, Carol E

Northrup, Carol E is an individual health care provider with primary practice located at 341 Englewood Ave , Buffalo NY 14223-2819. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Northrup, Carol E can be contacted via phone (716) 833-2333.

Contact Information

Primary practice address
341 Englewood Ave Buffalo NY 14223-2819
Phone: (716) 833-2333
Fax: (716) 833-3972
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X F380504 New York

Profile Details

NPI number 1114993854
LBN Legal business name Northrup, Carol E
Credentials Pediatric Nurse Practitioner (PNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2006
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 1114993854 NPPES
New York MEDICAID 01528990

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