Richard Paul Carroll in Minneapolis - Specialist
Richard Paul Carroll - NPI 1407828007
Richard Paul Carroll is a Specialist in Minneapolis, Minnesota. Richard Paul Carroll practices all healthcare services and medical treatments related to Specialist. The NPI Number for Richard Paul Carroll is 1407828007. The last update date is 2010-04-27.
Richard Paul Carroll's current location address is 4887 E Lake Harriet Blvd, Minneapolis, Minnesota. You can contact this provider via phone number 6123250317. The mailing address for Richard Paul Carroll is 4887 E Lake Harriet Blvd, Minneapolis, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Richard Paul Carroll |
|---|---|
| Address | 4887 E Lake Harriet Blvd, Minneapolis, Minnesota |
| Phone Number | 6123250317 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1407828007 |
|---|---|
| Provider Enumeration Date | 2006-02-07 |
| Last Updated Date | 2010-04-27 |
Provider Mailing Address Detail
| Address | 4887 E Lake Harriet Blvd |
|---|---|
| City | Minneapolis |
| State | Minnesota (MN) |
| Post Code | 554195222 |
| Phone Number | 6123250317 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 21566 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 648872200 | MN | -- | |
| 6D561CA | MN | BCBS PROVIDER NUMBER | |
| 31260500 | WI | WISCONSIN MA PROVIDER NO. |
Post Comment/ Review Below
What is the unique provider identifier assigned to Richard Paul Carroll?
The Richard Paul Carroll has been issued the NPI (National Provider Identifier) 1407828007 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Richard Paul Carroll is physically located?
The Richard Paul Carroll is situated at the following address: 4887 E Lake Harriet Blvd, Minneapolis, MN 554195222.
What is the Richard Paul Carroll's specialty and taxonomy code?
The Richard Paul Carroll's specialty is Specialist, and the corresponding taxonomy code is 174400000X.
When did the Richard Paul Carroll receive its 1407828007?
The Richard Paul Carroll was issued its 1407828007 on 2006-02-07, which is the date when the organization was assigned this unique identifier.
When was the information regarding Richard Paul Carroll, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Richard Paul Carroll, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2010-04-27.