Carlson, Devin Kenneth

Carlson, Devin Kenneth is an sole proprietor health care provider with primary practice located at 188 Osborn Dr , Dickinson ND 58601-3936. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Carlson, Devin Kenneth can be contacted via phone (701) 483-9483.

Contact Information

Primary practice address
188 Osborn Dr Dickinson ND 58601-3936
Fax: (701) 483-8202
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 700 North Dakota

Profile Details

NPI number 1720145907
LBN Legal business name Carlson, Devin Kenneth
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 3rd, 2007
Last updated Jul 8th, 2007 - about 17 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 1720145907 NPPES
North Dakota MEDICAID 11468

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