Schallock, Carrie Lynn

Schallock, Carrie Lynn is an individual health care provider with primary practice located at 2501 E Southern Ave Ste 14, Tempe AZ 85282. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Schallock, Carrie Lynn can be contacted via phone (480) 730-3331.

Contact Information

Primary practice address
2501 E Southern Ave Ste 14 Tempe AZ 85282
Phone: (480) 730-3331
Fax: (480) 730-6340
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 15984 Arizona
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 33837 Wisconsin

Profile Details

NPI number 1710953567
LBN Legal business name Schallock, Carrie Lynn
Credentials Doctor of Medicine (MD)
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 1710953567 NPPES
Arizona MEDICAID 153833

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