Carlson, Eric John
Carlson, Eric John is an individual health care provider with primary practice located at 100 E Lancaster Ave 353 Medical Office Building East, Wynnewood PA 19096-3450. He recently has only one registered license in Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine, which is considered as his primary health care specialty. Carlson, Eric John can be contacted via phone (610) 649-9021.Contact Information
Primary practice address
100 E Lancaster Ave 353 Medical Office Building East
Wynnewood PA 19096-3450
Phone: (610) 649-9021
Fax: (610) 649-8058
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine | 207VM0101X | OS011047L | Pennsylvania |
| Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine | 207VM0101X | 25MB06319700 | New Jersey |
Profile Details
| NPI number | 1316995574 |
|---|---|
| LBN Legal business name | Carlson, Eric John |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 4th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1316995574 | NPPES |
| Pennsylvania | Other | 0184927006 | AMERICHOICE |
| Pennsylvania | Other | 02640 | AMERICHOICE |
| Pennsylvania | Other | 1652891 | AMERICHOICE |
| Pennsylvania | Other | 2330386000 | AMERICHOICE |
| Pennsylvania | Other | 33658 | AMERICHOICE |
| Pennsylvania | Other | 3716959 | AMERICHOICE |
| Pennsylvania | MEDICAID | 00184927 | AMERICHOICE |
| Pennsylvania | Other | 00866773000 | AMERICHOICE |
| Pennsylvania | Other | 33657 | AMERICHOICE |
| Pennsylvania | Other | 33659 | AMERICHOICE |
| Pennsylvania | Other | 3716982 | AMERICHOICE |
| Pennsylvania | Other | 30018993 | AMERICHOICE |
| Pennsylvania | Other | 923742 | AMERICHOICE |
| Pennsylvania | Other | 30018989 | AMERICHOICE |
| Pennsylvania | Other | 5824670 | AMERICHOICE |
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