Carlson, Elise M S
Carlson, Elise M S is an individual health care provider with primary practice located at 60 Temple St Ste 6A, New Haven CT 06510-2716. She recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as her primary health care specialty. Carlson, Elise M S can be contacted via phone (203) 688-8169.Contact Information
Primary practice address
60 Temple St Ste 6A
New Haven CT 06510-2716
Phone: (203) 688-8169
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | 040968 | Connecticut |
Profile Details
| NPI number | 1811971260 |
|---|---|
| LBN Legal business name | Carlson, Elise M S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 30th, 2005 |
| Last updated | Jun 24th, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811971260 | NPPES |
| Connecticut | MEDICAID | 001409681 |
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