Carlson, Christopher Lance

Carlson, Christopher Lance is an individual health care provider with primary practice located at 100 N Clayview Dr , Liberty MO 64068-1115. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Carlson, Christopher Lance can be contacted via phone (816) 781-9222.

Contact Information

Primary practice address
100 N Clayview Dr Liberty MO 64068-1115
Phone: (816) 781-9222
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 2010010433 Missouri
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 04-34384 Kansas

Profile Details

NPI number 1316168966
LBN Legal business name Carlson, Christopher Lance
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2007
Last updated Jul 31st, 2013 - about 12 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 1316168966 NPPES
Missouri MEDICAID 1316168966
Missouri Other R86000039

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