Carlson, Brian G

Carlson, Brian G is an individual health care provider with primary practice located at 9200 W Wisconsin Avenue Department Of Radiology, Milwaukee WI 53226-3522. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as his primary health care specialty. Carlson, Brian G can be contacted via phone (414) 805-3750.

Contact Information

Primary practice address
9200 W Wisconsin Avenue Department Of Radiology Milwaukee WI 53226-3522
Phone: (414) 805-3750
Fax: (414) 259-9290
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 3641-033 Wisconsin

Profile Details

NPI number 1093954687
LBN Legal business name Carlson, Brian G
Credentials Master of Science in Nursing (MSN)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 5th, 2009
Last updated Jul 21st, 2022 - about 2 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 1093954687 NPPES
Wisconsin MEDICAID 1093954687

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