Carlson, Bruce L

Carlson, Bruce L is an individual health care provider with primary practice located at 101 E Broadway Ave , Bismarck ND 58501. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Carlson, Bruce L can be contacted via phone (701) 222-0386.

Contact Information

Primary practice address
101 E Broadway Ave Bismarck ND 58501
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 1279 North Dakota

Profile Details

NPI number 1508912288
LBN Legal business name Carlson, Bruce L
Credentials Licensed Acupuncturist (LAC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2007
Last updated Jul 8th, 2007 - about 18 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 1508912288 NPPES
North Dakota Other 25264 BLUE CROSS BLUE SHIELD

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