Carlsen, John
Carlsen, John is an individual health care provider with primary practice located at 9125 Cross Park Dr Ste 200 , Knoxville TN 37923-4563. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Carlsen, John can be contacted via phone (865) 632-5900.Contact Information
Primary practice address
9125 Cross Park Dr Ste 200
Knoxville TN 37923-4563
Phone: (865) 632-5900
Fax: (865) 374-2129
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 3495 | Tennessee |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 001584 | Connecticut |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 3495 | Tennessee |
Profile Details
| NPI number | 1114970209 |
|---|---|
| LBN Legal business name | Carlsen, John |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 18th, 2006 |
| Last updated | Aug 24th, 2020 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114970209 | NPPES |
| Tennessee | MEDICAID | Q047734 |
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