Conwell, Carl F.

Conwell, Carl F. is an individual health care provider with primary practice located at 2229 Mary Sherman Dr , Sullivan IN 47882-7633. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Conwell, Carl F. can be contacted via phone (812) 268-3318.

Contact Information

Primary practice address
2229 Mary Sherman Dr Sullivan IN 47882-7633
Phone: (812) 268-3318
Fax: (812) 268-4017
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01036108 Indiana

Profile Details

NPI number 1952304123
LBN Legal business name Conwell, Carl F.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2005
Last updated Apr 27th, 2021 - about 5 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 1952304123 NPPES
Indiana MEDICAID 100447910
Indiana Other 153868
Indiana MEDICAID 200015680A

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