Im, Carolyn S

Im, Carolyn S is an individual health care provider with primary practice located at 3501 S Clarkson St , Englewood CO 80113-3916. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Im, Carolyn S can be contacted via phone (303) 783-8844.

Contact Information

Primary practice address
3501 S Clarkson St Englewood CO 80113-3916
Phone: (303) 783-8844
Fax: (303) 783-2002
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA.0006728 Colorado
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA.0006728 Colorado
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X

Profile Details

NPI number 1912550989
LBN Legal business name Im, Carolyn S
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2019
Last updated Mar 20th, 2024 - about 2 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 1912550989 NPPES
Wisconsin MEDICAID 100096114

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