Mauch, Carly

Mauch, Carly is an individual health care provider with primary practice located at 1813 W Harvard Ave Suite #310, Roseburg OR 97471-2752. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Mauch, Carly can be contacted via phone (541) 672-7546.

Contact Information

Primary practice address
1813 W Harvard Ave Suite #310 Roseburg OR 97471-2752
Phone: (541) 672-7546
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA01409 Oregon

Profile Details

NPI number 1679758700
LBN Legal business name Mauch, Carly
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 8th, 2008
Last updated Nov 29th, 2017 - about 9 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 1679758700 NPPES
Oregon Other R144364 PTAN

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