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Individual
JOSIAH F.K. CARROLL
Active
Individual
JOSIAH F.K. CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036071379
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020346
HEALTH ALLIANCE
—
05
—
036071379
—
IL
05
—
1508697
—
IA
01
—
20097
IOWA HEALTH SOLUTIONS
—
01
—
4796890014
DMERC
—
01
—
4796890024
DMERC
—
01
—
97786
WELLMARK BC/.BS
IA
01
—
97834
WELLMARK BC/BS
IA
01
—
IL0110
JOHN DEERE HEALTH PLAN
—
Enumeration date
06/16/2005
Last updated
04/29/2015
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