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Contact Information

JANINE M CARROLL, PHYSICIAN ASSISTANT
332 DEWEY STREET
TACONIC ORTHOPEDICS PC
BENNINGTON, VT05201
 Phone: 802-442-6314
 Fax: 802-447-1686
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for JANINE M CARROLL · (Female)

NPI # 1841284270
Status Active
Credentials PHYSICIAN ASSISTANT
Entity Individual
Enumeration date 08/31/2005
Last updated 09/14/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • VT License # 055-0030203
  • VT License # 0550030203
  • VT Medicaid 0005117
  • VT Medicaid 9000271
  • VT Other GRTH18953 BC/BS
  • VT Other 635529 MVP
  • VT Other 200010961 RAILROAD MEDICARE/ PALMETTO
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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