Caroline, John M

Caroline, John M is an individual health care provider with primary practice located at 619 S Marion Ave Nf/Sg Vhs Primary Care Lake City Va Medical Center, Lake City FL 32025-5808. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Caroline, John M can be contacted via phone (386) 755-3016.

Contact Information

Primary practice address
619 S Marion Ave Nf/Sg Vhs Primary Care Lake City Va Medical Center Lake City FL 32025-5808
Phone: (386) 755-3016
Fax: (386) 754-7395
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS9028 Florida

Profile Details

NPI number 1154394625
LBN Legal business name Caroline, John M
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2006
Last updated Aug 31st, 2015 - about 11 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 1154394625 NPPES
Florida Other 82185 BCBS
Florida MEDICAID 268168400 BCBS
Florida Other 291496 BCBS

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