Phelan, Carol
Phelan, Carol is an individual health care provider with primary practice located at 10 Century Hill Dr , Latham NY 12110-2162. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Phelan, Carol can be contacted via phone (518) 783-5563.Contact Information
Primary practice address
10 Century Hill Dr
Latham NY 12110-2162
Phone: (518) 783-5563
Fax: (518) 785-5708
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | F332976 | New York |
Profile Details
| NPI number | 1790881886 |
|---|---|
| LBN Legal business name | Phelan, Carol |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 15th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790881886 | NPPES |
| New York | Other | 696215 | MVP |
| New York | MEDICAID | 02351908 | MVP |
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