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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609878149 NPPES
Indiana MEDICAID 100127760
Indiana Other CJ7541

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