Carroll, Jesse

Carroll, Jesse is an individual health care provider with primary practice located at 3178 W Tilghman St , Allentown PA 18104-4222. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Carroll, Jesse can be contacted via phone (610) 844-9150.

Contact Information

Primary practice address
3178 W Tilghman St Allentown PA 18104-4222
Phone: (610) 844-9150
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X MA058607 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X MA058607 Pennsylvania

Profile Details

NPI number 1801346416
LBN Legal business name Carroll, Jesse
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2016
Last updated Feb 16th, 2021 - about 4 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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