Individual
MR. JOHN CARREL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMP
Contact information
Practice address
9714 3RD AVE NE, SUITE 103, SEATTLE, WA 98115
(206) 527-9709
(206) 526-2991
Mailing address
9714 3RD AVE NE, SUITE 103, SEATTLE, WA 98115
(206) 527-9709
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00014247
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20-1631890
TAX ID #
WA
Enumeration date
04/10/2007
Last updated
12/11/2015
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