Carr, Gary D

Carr, Gary D is an individual health care provider with primary practice located at 11020 State Route 250 , Lawrenceville IL 62439-3379. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Carr, Gary D can be contacted via phone (618) 943-2609.

Contact Information

Primary practice address
11020 State Route 250 Lawrenceville IL 62439-3379
Phone: (618) 943-2609
Fax: (618) 943-6409
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036058645 Illinois
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 036058645 Illinois

Profile Details

NPI number 1245264183
LBN Legal business name Carr, Gary D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Sep 9th, 2019 - about 7 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 1245264183 NPPES
Illinois Other 003230 HEALTH ALLIANCE INS
Illinois Other 5132004 HEALTH ALLIANCE INS
Illinois Other 1729885 HEALTH ALLIANCE INS
Illinois MEDICAID 376006178007 HEALTH ALLIANCE INS
Illinois MEDICAID 036058645 HEALTH ALLIANCE INS
Illinois Other 838915 HEALTH ALLIANCE INS
Illinois Other 131890 HEALTH ALLIANCE INS

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