Carlson, Duane G

Carlson, Duane G is an individual health care provider with primary practice located at 4011 Talbot Road South Suite 500, Renton WA 98055. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Carlson, Duane G can be contacted via phone (425) 251-5110.

Contact Information

Primary practice address
4011 Talbot Road South Suite 500 Renton WA 98055
Phone: (425) 251-5110
Fax: (425) 793-7380
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X MD00015320 Washington

Profile Details

NPI number 1417032798
LBN Legal business name Carlson, Duane G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2006
Last updated Jan 21st, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1417032798 NPPES
Washington Other 0057610 L&I
Washington Other 110055154 L&I
Washington MEDICAID 1050517 L&I

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