Carroll, Charles Patrick

Carroll, Charles Patrick is an individual health care provider with primary practice located at 89 Sylvania Dr 2Nd Fl, Dayton OH 45440-3237. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Retina Specialist. Allopathic & Osteopathic Physicians / Retina Specialist is his primary health care specialty. Carroll, Charles Patrick can be contacted via phone (937) 427-8900.

Contact Information

Primary practice address
89 Sylvania Dr 2Nd Fl Dayton OH 45440-3237
Phone: (937) 427-8900
Fax: (937) 427-1710
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 35038423 Ohio
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X 35038423 Ohio

Profile Details

NPI number 1780681239
LBN Legal business name Carroll, Charles Patrick
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2005
Last updated Jul 10th, 2017 - about 9 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 1780681239 NPPES
Ohio MEDICAID 0436415

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