Carlson, David Eugene

Carlson, David Eugene is an individual health care provider with primary practice located at 277 Division St Suite 3, North Tonawanda NY 14120-4667. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Carlson, David Eugene can be contacted via phone (716) 694-3541.

Contact Information

Primary practice address
277 Division St Suite 3 North Tonawanda NY 14120-4667
Fax: (716) 694-3543
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 190642 New York

Profile Details

NPI number 1710942859
LBN Legal business name Carlson, David Eugene
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2006
Last updated Sep 21st, 2011 - about 13 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 1710942859 NPPES
New York MEDICAID 0661027

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