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Contact Information

CARL MAYBERRY, MBA,CRA,ARRT(R)(CT)
MADIGAN ARMY MEDICAL CTR
9040 JACKSON AVE
TACOMA, WA98431-1100
 Phone: 253-968-2147
 Fax: 253-968-2024
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiologic Technologist

247100000X
Indicates primary specialty

NPI Profile & details for CARL MAYBERRY · (Male)

NPI Number 1508210287
Status Active
Credentials MBA,CRA,ARRT(R)(CT)
Entity Individual
Enumeration date 04/19/2016
Last updated 04/19/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • License # 203671
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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