Carlson, Brian J
Carlson, Brian J is an sole proprietor health care provider with primary practice located at 2031 Mcdaniel St Suite 210, North Las Vegas NV 89030-6303. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Carlson, Brian J can be contacted via phone (702) 633-0207.Contact Information
Primary practice address
2031 Mcdaniel St Suite 210
North Las Vegas NV 89030-6303
Phone: (702) 633-0207
Fax: (209) 532-1817
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 00G732910 | California |
Profile Details
| NPI number | 1740255462 |
|---|---|
| LBN Legal business name | Carlson, Brian J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 17th, 2006 |
| Last updated | Mar 17th, 2018 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740255462 | NPPES |
| California | Other | 100013695 | RAILROAD MEDICARE |
| California | MEDICAID | 1740255462 | RAILROAD MEDICARE |
| California | MEDICAID | 00G732910 | RAILROAD MEDICARE |
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