Vanderbilt, Carletta Mary Brown
Vanderbilt, Carletta Mary Brown is an individual health care provider with primary practice located at 3015 Squalicum Pkwy , Bellingham WA 98225-1945. She recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as her primary health care specialty. Vanderbilt, Carletta Mary Brown can be contacted via phone (360) 715-4186.Contact Information
Primary practice address
3015 Squalicum Pkwy
Bellingham WA 98225-1945
Phone: (360) 715-4186
Fax: (360) 715-4143
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | MD00017168 | Washington |
Profile Details
| NPI number | 1720047228 |
|---|---|
| LBN Legal business name | Vanderbilt, Carletta Mary Brown |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 22nd, 2006 |
| Last updated | Nov 19th, 2010 - about 16 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 | 1720047228 | NPPES |
| Washington | MEDICAID | 1720047228 | |
| Washington | MEDICAID | 1841907 | |
| Washington | Other | 4586813 | |
| Washington | Other | 0167683 | |
| Washington | Other | 110232336 | |
| Washington | Other | 7855VA |
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