Carlson, Alice L

Carlson, Alice L is an individual health care provider with primary practice located at 1373 E State Road 62 , Madison IN 47250-7328. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Carlson, Alice L can be contacted via phone (812) 801-0832.

Contact Information

Primary practice address
1373 E State Road 62 Madison IN 47250-7328
Phone: (812) 801-0832
Fax: (812) 801-0759
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 71000362 Indiana

Profile Details

NPI number 1235160557
LBN Legal business name Carlson, Alice L
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2006
Last updated Feb 27th, 2013 - about 11 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 1235160557 NPPES
Indiana MEDICAID 200161100A
Indiana Other 7500319
Indiana Other 500007922
Indiana Other 000000042220

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