Carroll, Michael
Carroll, Michael is an individual health care provider with primary practice located at 602 W University Ave , Urbana IL 61801-2530. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Carroll, Michael can be contacted via phone (217) 383-3311.Contact Information
Primary practice address
602 W University Ave
Urbana IL 61801-2530
Phone: (217) 383-3311
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 036084204 | Illinois |
Profile Details
| NPI number | 1457386351 |
|---|---|
| LBN Legal business name | Carroll, Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 11th, 2006 |
| Last updated | Jun 5th, 2012 - about 14 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 | 1457386351 | NPPES |
| Illinois | Other | 050021669 | RAILROAD NUMBER |
| Illinois | Other | 1457386351 | RAILROAD NUMBER |
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