Carlson, Craig
Carlson, Craig is an individual health care provider with primary practice located at 13100 Wayzata Blvd Ste 200 , Minnetonka MN 55305-1810. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Carlson, Craig can be contacted via phone (952) 206-2040.Contact Information
Primary practice address
13100 Wayzata Blvd Ste 200
Minnetonka MN 55305-1810
Phone: (952) 206-2040
Fax: (952) 206-2041
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | LP3482 | Minnesota |
Profile Details
| NPI number | 1841400579 |
|---|---|
| LBN Legal business name | Carlson, Craig |
| Credentials | LP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 23rd, 2007 |
| Last updated | May 7th, 2019 - about 5 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 | 1841400579 | NPPES |
| Minnesota | MEDICAID | 409216300 |
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