Decarolis, Paul A

Decarolis, Paul A is an individual health care provider with primary practice located at 2312 N Nevada Ave Ste 400 , Colorado Springs CO 80907-5320. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Decarolis, Paul A can be contacted via phone (719) 577-2555.

Contact Information

Primary practice address
2312 N Nevada Ave Ste 400 Colorado Springs CO 80907-5320
Phone: (719) 577-2555
Fax: (719) 577-2553
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 37352 Colorado

Profile Details

NPI number 1699759241
LBN Legal business name Decarolis, Paul A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2005
Last updated Apr 24th, 2013 - about 12 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 1699759241 NPPES
Colorado MEDICAID 01373521

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