Carlson, Eric
Carlson, Eric is an sole proprietor health care provider with primary practice located at 933 Sell Ave Suite A, Canon City CO 81212-4900. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Carlson, Eric can be contacted via phone (719) 275-0685.Contact Information
Primary practice address
933 Sell Ave Suite A
Canon City CO 81212-4900
Phone: (719) 275-0685
Fax: (719) 275-0690
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 30252 | Colorado |
Profile Details
| NPI number | 1477532810 |
|---|---|
| LBN Legal business name | Carlson, Eric |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 13th, 2006 |
| Last updated | Jul 7th, 2009 - 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 | 1477532810 | NPPES |
| Other | 159056900 | US DEPT OF LABOR | |
| Other | 5502AMPR005587 | US DEPT OF LABOR | |
| Other | 29405 | US DEPT OF LABOR | |
| Other | P00262002 | US DEPT OF LABOR | |
| MEDICAID | 01302520 | US DEPT OF LABOR |
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