Carlson, Douglas L

Carlson, Douglas L is an individual health care provider with primary practice located at 8905 W Lincoln Ave Suite # 515, West Allis WI 53227-2468. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Carlson, Douglas L can be contacted via phone (414) 328-8650.

Contact Information

Primary practice address
8905 W Lincoln Ave Suite # 515 West Allis WI 53227-2468
Phone: (414) 328-8650
Fax: (414) 328-8660
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 29192 Wisconsin

Profile Details

NPI number 1336294438
LBN Legal business name Carlson, Douglas L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2007
Last updated Nov 30th, 2021 - about 4 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 1336294438 NPPES
Wisconsin MEDICAID 31956900

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