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:
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Health care specialties

SpecialtyCodeLicense #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 5 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 1114970209 NPPES
Tennessee MEDICAID Q047734

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