Carlsen, Brian D

Carlsen, Brian D is an individual health care provider with primary practice located at 610 30Th Avenue West Alexandria Clinic, Alexandria MN 56308. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Carlsen, Brian D can be contacted via phone (320) 763-5123.

Contact Information

Primary practice address
610 30Th Avenue West Alexandria Clinic Alexandria MN 56308
Phone: (320) 763-5123
Fax: (320) 763-7883
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 36495 Minnesota

Profile Details

NPI number 1063492932
LBN Legal business name Carlsen, Brian D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2006
Last updated Jul 28th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063492932 NPPES
Minnesota Other 030050446 RR MEDICARE
Minnesota MEDICAID 343765500 RR MEDICARE

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