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Contact Information

CAROL L PARKS
1225 E COOLSPRING AVE
2-E
MICHIGAN CITY, IN46360-6312
 Phone: 219-879-6531
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for CAROL L PARKS · (Female)

NPI # 1013100775
Status Active
Credentials
Entity Individual
Enumeration date 08/24/2007
Last updated 11/30/2017 - More than a year ago
Sole proprietor 1 No
Identifiers
  • IN License # 71002473A
  • IN Medicaid 200923670
Hospital affiliation(s)
  • FRANCISCAN ST ANTHONY HEALTH - MICHIGAN CITY - (Acute Care)
    301 W HOMER ST
    MICHIGAN CITY, IN 46360
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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