Mayberry, Carl

Mayberry, Carl is an individual health care provider with primary practice located at Madigan Army Medical Ctr 9040 Jackson Ave, Tacoma WA 98431-1100. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Radiologic Technologist, which is considered as his primary health care specialty. Mayberry, Carl can be contacted via phone (253) 968-2147.

Contact Information

Primary practice address
Madigan Army Medical Ctr 9040 Jackson Ave Tacoma WA 98431-1100
Phone: (253) 968-2147
Fax: (253) 968-2024
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Radiologic Technologist 247100000X 203671

Profile Details

NPI number 1508210287
LBN Legal business name Mayberry, Carl
Credentials MBA,CRA,ARRT(R)(CT)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2016
Last updated Apr 19th, 2016 - about 10 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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