Carroll, Michael

Carroll, Michael is an individual health care provider with primary practice located at 9 Healthcare Drive Suite 204, Biddeford ME 04005-3742. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Carroll, Michael can be contacted via phone (207) 284-2630.

Contact Information

Primary practice address
9 Healthcare Drive Suite 204 Biddeford ME 04005-3742
Phone: (207) 284-2630
Fax: (207) 284-2631
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 014332 Maine

Profile Details

NPI number 1699738252
LBN Legal business name Carroll, Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2006
Last updated Sep 18th, 2013 - about 13 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 1699738252 NPPES
Maine Other 1041112 AETNA
Maine Other 620050901 AETNA
Maine MEDICAID 269230099 AETNA
Maine Other G33685 AETNA
Maine Other 030300 AETNA

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