Showalter, Carol Jeanne

Showalter, Carol Jeanne is an individual health care provider with primary practice located at 280 Smith Ave N Suite 737, Saint Paul MN 55102-2424. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Showalter, Carol Jeanne can be contacted via phone (651) 241-8295.

Contact Information

Primary practice address
280 Smith Ave N Suite 737 Saint Paul MN 55102-2424
Phone: (651) 241-8295
Fax: (651) 241-7300
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 38304 Wisconsin
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 32511 Minnesota

Profile Details

NPI number 1467414300
LBN Legal business name Showalter, Carol Jeanne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 5th, 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 1467414300 NPPES
Wisconsin MEDICAID 32277500

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