Carroll, James
Carroll, James is an individual health care provider with primary practice located at 55 Lake Ave N Department Of Surgery, Worcester MA 01655-0002. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Carroll, James can be contacted via phone (508) 334-0545.Contact Information
Primary practice address
55 Lake Ave N Department Of Surgery
Worcester MA 01655-0002
Phone: (508) 334-0545
Fax: (774) 443-0544
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 238407 | Massachusetts |
Profile Details
| NPI number | 1992854681 |
|---|---|
| LBN Legal business name | Carroll, James |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 10th, 2007 |
| Last updated | Nov 2nd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992854681 | NPPES |
| Massachusetts | MEDICAID | 110095660A |
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