O'Leary, Carol Baker

O'Leary, Carol Baker is an individual health care provider with primary practice located at 209 W Criser Rd , Front Royal VA 22630-2360. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. O'Leary, Carol Baker can be contacted via phone (540) 636-2961.

Contact Information

Primary practice address
209 W Criser Rd Front Royal VA 22630-2360
Phone: (540) 636-2961
Fax: (540) 636-2933
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0024066284 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult 364SP0809X 0015000631 Virginia

Profile Details

NPI number 1184627424
LBN Legal business name O'Leary, Carol Baker
Credentials RN, CS, NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2005
Last updated Jan 22nd, 2008 - about 16 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 1184627424 NPPES
Virginia MEDICAID 004945212

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