Carlson, Carl Samuel

Carlson, Carl Samuel is an sole proprietor health care provider with primary practice located at 1171 Market St Suite 103, Fort Mill SC 29708-6500. He recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as his primary health care specialty. Carlson, Carl Samuel can be contacted via phone (704) 641-8902.

Contact Information

Primary practice address
1171 Market St Suite 103 Fort Mill SC 29708-6500
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X 4579 South Carolina

Profile Details

NPI number 1386956464
LBN Legal business name Carlson, Carl Samuel
Credentials M.S., LPES
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 6th, 2010
Last updated Jul 6th, 2010 - about 16 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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