Royer, Carol Ann
Royer, Carol Ann is an sole proprietor health care provider with primary practice located at 611 E. Douglas Rd. Suite 128, Mishawaka IN 46545-1464. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Royer, Carol Ann can be contacted via phone (574) 335-6210.Contact Information
Primary practice address
611 E. Douglas Rd. Suite 128
Mishawaka IN 46545-1464
Phone: (574) 335-6210
Fax: (574) 335-6211
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 01030119 | Indiana |
| Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine | 2083P0011X | 01030119 | Indiana |
Profile Details
| NPI number | 1235284357 |
|---|---|
| LBN Legal business name | Royer, Carol Ann |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 25th, 2007 |
| Last updated | Dec 4th, 2009 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235284357 | NPPES |
| Indiana | MEDICAID | 100091090B |
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