Carlson, Andrea Christine

Carlson, Andrea Christine is an sole proprietor health care provider with primary practice located at 812 E Jolly Rd , Lansing MI 48910-6818. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Carlson, Andrea Christine can be contacted via phone (517) 346-8410.

Contact Information

Primary practice address
812 E Jolly Rd Lansing MI 48910-6818
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1851353437
LBN Legal business name Carlson, Andrea Christine
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 6th, 2006
Last updated Jun 14th, 2017 - about 7 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 1851353437 NPPES
Michigan MEDICAID 1708001

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