Stoller, Carrie A.

Stoller, Carrie A. is an individual health care provider with primary practice located at Gastro-Intestinal Associates, Inc. 2793 Shawnee Rd., Lima OH 45806-1444. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Allopathic & Osteopathic Physicians / Hospitalist. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Stoller, Carrie A. can be contacted via phone (419) 227-8209.

Contact Information

Primary practice address
Gastro-Intestinal Associates, Inc. 2793 Shawnee Rd. Lima OH 45806-1444
Phone: (419) 227-8209
Fax: (419) 222-6007
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 07379 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X COA.07379-NP Ohio
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X COA07379-NP Ohio

Profile Details

NPI number 1801870746
LBN Legal business name Stoller, Carrie A.
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2005
Last updated Dec 20th, 2011 - about 13 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 1801870746 NPPES
Ohio MEDICAID 2415818
Ohio Other P00864681

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