Wilbur, Carly W

Wilbur, Carly W is an individual health care provider with primary practice located at 3461 Warrensville Center Rd , Shaker Hts OH 44122-5260. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Wilbur, Carly W can be contacted via phone (216) 383-0100.

Contact Information

Primary practice address
3461 Warrensville Center Rd Shaker Hts OH 44122-5260
Fax: (216) 383-6481
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 35083155 Ohio

Profile Details

NPI number 1386745800
LBN Legal business name Wilbur, Carly W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2006
Last updated Aug 29th, 2012 - about 12 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 1386745800 NPPES
Ohio MEDICAID 2439427

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