Carlson, Christian Lacelle
Carlson, Christian Lacelle is an individual health care provider with primary practice located at 160 E Erie Ave , Philadelphia PA 19134-1011. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Carlson, Christian Lacelle can be contacted via phone (215) 427-5234.Contact Information
Primary practice address
160 E Erie Ave
Philadelphia PA 19134-1011
Phone: (215) 427-5234
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatric Radiology | 2085P0229X | 11931633-1205 | Utah |
Allopathic & Osteopathic Physicians / Pediatric Radiology | 2085P0229X | MD479323 | Pennsylvania |
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 11931633-1205 | Utah |
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 01058718A | Indiana |
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | MD479323 | Pennsylvania |
Profile Details
NPI number | 1669462958 |
---|---|
LBN Legal business name | Carlson, Christian Lacelle |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 27th, 2005 |
Last updated | Aug 30th, 2023 - about last year |
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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