Carlson, Derek Mikel
Carlson, Derek Mikel is an individual health care provider with primary practice located at 7277 Nightstalker Way , Fort Campbell KY 42223-5151. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Aerospace Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Aerospace Medicine is his primary health care specialty. Carlson, Derek Mikel can be contacted via phone (270) 798-9416.Contact Information
Primary practice address
7277 Nightstalker Way
Fort Campbell KY 42223-5151
Phone: (270) 798-9416
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 252015 | New York |
Allopathic & Osteopathic Physicians / Aerospace Medicine | 2083A0100X | 252015 | New York |
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X |
Profile Details
NPI number | 1093911885 |
---|---|
LBN Legal business name | Carlson, Derek Mikel |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 27th, 2007 |
Last updated | Sep 16th, 2010 - about 14 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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