Carroll, Jeffrey W

Carroll, Jeffrey W is an individual health care provider with primary practice located at 927 Franklin St , Huntsville AL 35801. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Carroll, Jeffrey W can be contacted via phone (256) 539-2728.

Contact Information

Primary practice address
927 Franklin St Huntsville AL 35801
Phone: (256) 539-2728
Fax: (256) 428-3423
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA1217 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA398 Alabama

Profile Details

NPI number 1396704516
LBN Legal business name Carroll, Jeffrey W
Credentials PA C
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 18th, 2006
Last updated Nov 11th, 2013 - about 12 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 1396704516 NPPES
Alabama MEDICAID 009978285
Alabama Other 090219
Alabama Other 51000081
Alabama Other 7190662

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