Carlson, Brent S

Carlson, Brent S is an individual health care provider with primary practice located at 2525 Glenn Hendren Dr , Liberty MO 64068-9625. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Carlson, Brent S can be contacted via phone (816) 792-7000.

Contact Information

Primary practice address
2525 Glenn Hendren Dr Liberty MO 64068-9625
Phone: (816) 792-7000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 115625 Missouri

Profile Details

NPI number 1235130329
LBN Legal business name Carlson, Brent S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2005
Last updated Jan 8th, 2024 - about 11 months 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 1235130329 NPPES
Missouri MEDICAID 204703714
Missouri Other 35373016

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