Carroll, Stephanie J

Carroll, Stephanie J is an sole proprietor health care provider with primary practice located at 101 Bodin Cir , Travis Afb CA 94535-1809. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Carroll, Stephanie J can be contacted via phone (707) 423-5349.

Contact Information

Primary practice address
101 Bodin Cir Travis Afb CA 94535-1809
Phone: (707) 423-5349
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 131193 California

Profile Details

NPI number 1679835896
LBN Legal business name Carroll, Stephanie J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 13th, 2012
Last updated Feb 11th, 2022 - 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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