Carron, Michael J

Carron, Michael J is an individual health care provider with primary practice located at 3680 Broadway , Fort Myers FL 33901-8005. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Carron, Michael J can be contacted via phone (239) 936-2316.

Contact Information

Primary practice address
3680 Broadway Fort Myers FL 33901-8005
Phone: (239) 936-2316
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X ME43893 Florida

Profile Details

NPI number 1073551305
LBN Legal business name Carron, Michael J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2006
Last updated May 28th, 2008 - about 18 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 1073551305 NPPES
Other 0624232 AETNA HMO
Other 4129695 AETNA HMO
MEDICAID 068575500 AETNA HMO
MEDICAID 054636400 AETNA HMO
Other 79843 AETNA HMO
Other ME43893 AETNA HMO

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