Carlson, Carrie
Carlson, Carrie is an individual health care provider with primary practice located at 505 Johnson Ave Se , Pine City MN 55063-2108. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Carlson, Carrie can be contacted via phone (320) 629-2282.Contact Information
Primary practice address
505 Johnson Ave Se
Pine City MN 55063-2108
Phone: (320) 629-2282
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | D12060 | Minnesota |
Profile Details
| NPI number | 1568433563 |
|---|---|
| LBN Legal business name | Carlson, Carrie |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 28th, 2006 |
| Last updated | Dec 5th, 2022 - about 3 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 | 1568433563 | NPPES |
| Minnesota | MEDICAID | 328608800 |
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