Carroll, Edmund Thomas

Carroll, Edmund Thomas is an individual health care provider with primary practice located at 12100 Black Swan Drive Suite 201, Lewes DE 19958-4988. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Carroll, Edmund Thomas can be contacted via phone (302) 644-3311.

Contact Information

Primary practice address
12100 Black Swan Drive Suite 201 Lewes DE 19958-4988
Phone: (302) 644-3311
Fax: (302) 644-3300
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X C20007511 Delaware

Profile Details

NPI number 1629029749
LBN Legal business name Carroll, Edmund Thomas
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 13th, 2006
Last updated Jan 23rd, 2020 - about 6 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 1629029749 NPPES
Other 51-0370286 CORVEL/CORCARE
Other 51-0370286 CORVEL/CORCARE
Other P00247768 CORVEL/CORCARE
Other 204955 CORVEL/CORCARE
Other 2356448000 CORVEL/CORCARE
Other 3638665 CORVEL/CORCARE
Other 51-0343207 CORVEL/CORCARE
Other 51-0370286 CORVEL/CORCARE
Other 1184681488 CORVEL/CORCARE
Other 2129304 CORVEL/CORCARE
MEDICAID 1000035330 CORVEL/CORCARE
Other 51-0370286 CORVEL/CORCARE
Other 51-0370286 CORVEL/CORCARE
Other 51-0370286 CORVEL/CORCARE
Other 51-0370286 CORVEL/CORCARE

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