Carlson, David J

Carlson, David J is an individual health care provider with primary practice located at 520 Mary St Suite 520, Evansville IN 47710-1682. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Carlson, David J can be contacted via phone (812) 424-8231.

Contact Information

Primary practice address
520 Mary St Suite 520 Evansville IN 47710-1682
Phone: (812) 424-8231
Fax: (812) 435-8794
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 01025538A Indiana

Profile Details

NPI number 1902805807
LBN Legal business name Carlson, David J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2005
Last updated May 8th, 2015 - about 9 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1902805807 NPPES
Kentucky MEDICAID 64751589
Kentucky Other 020021454
Kentucky MEDICAID 0280273014-02
Kentucky Other 000000082348
Kentucky MEDICAID 100242340A

Popular Providers