Carlsen, Jeffrey O

Carlsen, Jeffrey O is an individual health care provider with primary practice located at 110 Med Tech Pkwy Suite 1, Johnson City TN 37604-4004. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Carlsen, Jeffrey O can be contacted via phone (423) 929-2111.

Contact Information

Primary practice address
110 Med Tech Pkwy Suite 1 Johnson City TN 37604-4004
Phone: (423) 929-2111
Fax: (423) 929-0497
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X MD38624 Tennessee

Profile Details

NPI number 1609834076
LBN Legal business name Carlsen, Jeffrey O
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
Last updated Dec 21st, 2009 - about 15 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 1609834076 NPPES
Tennessee Other P00163835 PALMETTO RAILROAD MEDICAR
Tennessee MEDICAID 3898262 PALMETTO RAILROAD MEDICAR

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