Carroll, Casey Ann
Carroll, Casey Ann is an individual health care provider with primary practice located at 7701 Sheridan Blvd , Westminster CO 80003-2605. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Carroll, Casey Ann can be contacted via phone (303) 338-4545.Contact Information
Primary practice address
7701 Sheridan Blvd
Westminster CO 80003-2605
Phone: (303) 338-4545
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | DR.0060090 | Colorado |
Profile Details
| NPI number | 1063807733 |
|---|---|
| LBN Legal business name | Carroll, Casey Ann |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 31st, 2015 |
| Last updated | Feb 13th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063807733 | NPPES |
| Colorado | Other | 028849 | KAISER COMMERCIAL NUMBER |
| Colorado | MEDICAID | 9000155870 | KAISER COMMERCIAL NUMBER |
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