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Contact Information

MIGUEL G CARBONELL, MD
3190 STATE ST
102
MEDFORD, OR97504
 Phone: 541-773-1565
 Fax: 541-773-1929
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for MIGUEL G CARBONELL · (Male)

NPI Number 1649348269
Status Active
Credentials MD
Entity Individual
Enumeration date 12/01/2006
Last updated 01/02/2008 - About 18 years ago
Sole proprietor 1 Yes
Identifiers
  • OR License # MD19893
  • OR Medicaid 081815
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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