Mcdonald, Carolyn

Mcdonald, Carolyn is an individual health care provider with primary practice located at 10288 W State Route 66 , Newburgh IN 47630-7952. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Mcdonald, Carolyn can be contacted via phone (812) 583-5864.

Contact Information

Primary practice address
10288 W State Route 66 Newburgh IN 47630-7952
Phone: (812) 583-5864
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 2008007900 Indiana

Profile Details

NPI number 1881847549
LBN Legal business name Mcdonald, Carolyn
Credentials ACNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 28th, 2008
Last updated Aug 31st, 2011 - about 15 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 1881847549 NPPES
Indiana MEDICAID 200936920
Indiana Other 00000609519
Indiana MEDICAID 7100085550

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