Individual
HEATHER L CARONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
16600 W SPRAGUE RD STE 120, CLEVELAND, OH 44130-6300
(248) 434-6169
Mailing address
PO BOX 639295 DEPT 93394, CINCINNATI, OH 45263-9295
(248) 434-6169
(855) 618-6655
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
35087034
OH
208D00000X
General Practice Physician
Primary
35087034
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000387605
BC/BS INDIVIDUAL #
OH
05
—
104818437
—
MI
01
—
P00273838
RAILROAD MEDICARE #
OH
Enumeration date
04/08/2006
Last updated
11/08/2023
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