Ambrosius, Carol Marie

Ambrosius, Carol Marie is an individual health care provider with primary practice located at 20811 Dawn Dr Suite 505, Lago Vista TX 78645. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Ambrosius, Carol Marie can be contacted via phone (512) 267-3477.

Contact Information

Primary practice address
20811 Dawn Dr Suite 505 Lago Vista TX 78645
Fax: (512) 267-3948
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 6193 Texas

Profile Details

NPI number 1992811756
LBN Legal business name Ambrosius, Carol Marie
Credentials DC DAC BSP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2006
Last updated Jul 8th, 2007 - about 19 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 1992811756 NPPES
Other 628270 UNITED HEALTH CARE

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