Carlson, Christopher R

Carlson, Christopher R is an sole proprietor health care provider with primary practice located at 4824 E Baseline Rd Suite 113, Mesa AZ 85206-4676. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Carlson, Christopher R can be contacted via phone (480) 350-3800.

Contact Information

Primary practice address
4824 E Baseline Rd Suite 113 Mesa AZ 85206-4676
Phone: (480) 350-3800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 1593 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 1593 Arizona

Profile Details

NPI number 1144220526
LBN Legal business name Carlson, Christopher R
Credentials PA-C, ATC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 28th, 2005
Last updated Feb 5th, 2008 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1144220526 NPPES
Arizona MEDICAID 153982

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