Carlsen, Tim

Carlsen, Tim is an individual health care provider with primary practice located at 2620 Tenderfoot Hill St Suite 10, Colorado Springs CO 80906-3981. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, which is considered as his primary health care specialty. Carlsen, Tim can be contacted via phone (719) 576-2080.

Contact Information

Primary practice address
2620 Tenderfoot Hill St Suite 10 Colorado Springs CO 80906-3981
Phone: (719) 576-2080
Fax: (719) 576-2248
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X 642 Colorado

Profile Details

NPI number 1033199070
LBN Legal business name Carlsen, Tim
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2006
Last updated Jul 8th, 2007 - about 18 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 1033199070 NPPES
Colorado MEDICAID 12451576
Colorado Other P00147284
Colorado Other 841469291005
Colorado Other 84146929104

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