Carlson, David Conrad

Carlson, David Conrad is an individual health care provider with primary practice located at 1515 Saint Francis Ave Suite 150, Shakopee MN 55379-3387. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Carlson, David Conrad can be contacted via phone (952) 403-3399.

Contact Information

Primary practice address
1515 Saint Francis Ave Suite 150 Shakopee MN 55379-3387
Phone: (952) 403-3399
Fax: (952) 403-3390
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 33472 Wisconsin
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 26543 Minnesota

Profile Details

NPI number 1134179419
LBN Legal business name Carlson, David Conrad
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2006
Last updated Apr 8th, 2024 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1134179419 NPPES
Minnesota MEDICAID 973505400

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