Carlson, Ellen Claire

Carlson, Ellen Claire is an individual health care provider with primary practice located at 625 S New Ballas Rd Ste 2015 , Saint Louis MO 63141-8253. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Carlson, Ellen Claire can be contacted via phone (314) 251-1700.

Contact Information

Primary practice address
625 S New Ballas Rd Ste 2015 Saint Louis MO 63141-8253
Phone: (314) 251-1700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 2017038788 Missouri

Profile Details

NPI number 1649782269
LBN Legal business name Carlson, Ellen Claire
Credentials AGNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 5th, 2017
Last updated Jan 30th, 2023 - about 2 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 1649782269 NPPES
Missouri MEDICAID 420049783

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