Carlson, Daniel

Carlson, Daniel is an individual health care provider with primary practice located at 630 Miluk Dr , Coos Bay OR 97420-7728. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Student, Health Care / Student in an Organized Health Care Education/Training Program. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Carlson, Daniel can be contacted via phone (541) 888-9494.

Contact Information

Primary practice address
630 Miluk Dr Coos Bay OR 97420-7728
Phone: (541) 888-9494
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA202384 Oregon
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1659916690
LBN Legal business name Carlson, Daniel
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 13th, 2019
Last updated Aug 16th, 2021 - about 4 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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