Carroll, William R

Carroll, William R is an individual health care provider with primary practice located at 619 19Th Street South , Birmingham AL 35233. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Carroll, William R can be contacted via phone (205) 934-4011.

Contact Information

Primary practice address
619 19Th Street South Birmingham AL 35233
Phone: (205) 934-4011
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 19837 Alabama

Profile Details

NPI number 1811931082
LBN Legal business name Carroll, William R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2006
Last updated Jun 2nd, 2011 - about 15 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 1811931082 NPPES
Alabama Other 051036612 BLUE CROSS
Alabama Other 051517982 BLUE CROSS
Alabama MEDICAID 009933855 BLUE CROSS
Alabama Other F00437 BLUE CROSS

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