Poor, Maria Carol
Poor, Maria Carol is an individual health care provider with primary practice located at 1481 W 10Th St 116P, Indianapolis IN 46202-2803. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Poor, Maria Carol can be contacted via phone (317) 963-7300.Contact Information
Primary practice address
1481 W 10Th St 116P
Indianapolis IN 46202-2803
Phone: (317) 963-7300
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 1035288 | Indiana |
Profile Details
| NPI number | 1609878149 |
|---|---|
| LBN Legal business name | Poor, Maria Carol |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 15th, 2005 |
| Last updated | Sep 12th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609878149 | NPPES |
| Indiana | MEDICAID | 100127760 | |
| Indiana | Other | CJ7541 |
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