Stickney, Carolyn A
Stickney, Carolyn A is an individual health care provider with primary practice located at 333 Longwood Ave, Lo 011 Critical Care Medicine, Boston Children'S Hospital, Boston MA 02115-5724. She recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine. Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine is her primary health care specialty. Stickney, Carolyn A can be contacted via phone (617) 355-4480.Contact Information
Primary practice address
333 Longwood Ave, Lo 011 Critical Care Medicine, Boston Children'S Hospital
Boston MA 02115-5724
Phone: (617) 355-4480
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 57.009030 | Ohio |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 57.009030 | Ohio |
| Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine | 2080P0203X | 240053 | Massachusetts |
| Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine | 2080P0204X | 35-091362 | Ohio |
Profile Details
| NPI number | 1154535318 |
|---|---|
| LBN Legal business name | Stickney, Carolyn A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 9th, 2007 |
| Last updated | Aug 7th, 2015 - about 9 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 | 1154535318 | NPPES |
| Ohio | Other | 9959153 | AETNA |
| Ohio | MEDICAID | 2839192 | AETNA |
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