Healthcare Provider Details

I. General information

NPI: 1124201470
Provider Name (Legal Business Name): CATHERINE G. CARRIGAN, M.D., L.L.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/10/2007
Last Update Date: 12/10/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4411 N HOLLAND SYLVANIA RD SUITE 201
TOLEDO OH
43623-3525
US

IV. Provider business mailing address

4411 N HOLLAND SYLVANIA RD SUITE 201
TOLEDO OH
43623-3525
US

V. Phone/Fax

Practice location:
  • Phone: 419-843-3627
  • Fax: 419-843-9697
Mailing address:
  • Phone: 419-843-3627
  • Fax: 419-843-9697

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number35081858
License Number StateOH

VIII. Authorized Official

Name: DR. CATHERINE G. CARRIGAN
Title or Position: PHYSICIAN
Credential: M.D.
Phone: 419-843-3627