Carroll, Emily Luisa

Carroll, Emily Luisa is an sole proprietor health care provider with primary practice located at 3400 Highway 78 E , Jasper AL 35501-8956. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Carroll, Emily Luisa can be contacted via phone (205) 387-4000.

Contact Information

Primary practice address
3400 Highway 78 E Jasper AL 35501-8956
Phone: (205) 387-4000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA.2320 Alabama

Profile Details

NPI number 1174701684
LBN Legal business name Carroll, Emily Luisa
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 6th, 2008
Last updated Mar 7th, 2024 - about 2 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 1174701684 NPPES
Alabama MEDICAID 330000025

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