Carlson, Andrew
Carlson, Andrew is an sole proprietor health care provider with primary practice located at 11050 Mount Belvedere Blvd , Fort Drum NY 13602. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Military Health Care Provider, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Carlson, Andrew can be contacted via phone (913) 980-2656.Contact Information
Primary practice address
11050 Mount Belvedere Blvd
Fort Drum NY 13602
Phone: (913) 980-2656
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Military Health Care Provider | 171000000X | ||
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 1298447 | Texas |
Profile Details
| NPI number | 1396263885 |
|---|---|
| LBN Legal business name | Carlson, Andrew |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 5th, 2017 |
| Last updated | Jul 23rd, 2018 - about 6 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 | 1396263885 | NPPES |
| Texas | Other | 1298447 | STATE LICENSE |
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