Provider Demographics
NPI:1679891014
Name:CARL E. TURNER M.D., P.A.
Entity type:Organization
Organization Name:CARL E. TURNER M.D., P.A.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CARL
Authorized Official - Middle Name:E
Authorized Official - Last Name:TURNER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:302-428-1458
Mailing Address - Street 1:1508 PENNSYLVANIA AVE
Mailing Address - Street 2:2A
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19806-4338
Mailing Address - Country:US
Mailing Address - Phone:302-428-1458
Mailing Address - Fax:302-428-1678
Practice Address - Street 1:1508 PENNSYLVANIA AVE
Practice Address - Street 2:2A
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19806-4338
Practice Address - Country:US
Practice Address - Phone:302-428-1458
Practice Address - Fax:302-428-1678
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-10
Last Update Date:2010-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE1989020423207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DED01094Medicare UPIN