Carlson, Eric R.
Carlson, Eric R. is an sole proprietor health care provider with primary practice located at 1930 Alcoa Hwy Ste 335, Knoxville TN 37920-1585. He recently has only one registered license in Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, which is considered as his primary health care specialty. Carlson, Eric R. can be contacted via phone (865) 305-9022.Contact Information
Primary practice address
1930 Alcoa Hwy Ste 335
Knoxville TN 37920-1585
Phone: (865) 305-9022
Fax: (865) 305-9026
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery | 204E00000X | MD38394 | Tennessee |
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery | 204E00000X | 7998 | Tennessee |
Profile Details
NPI number | 1174616171 |
---|---|
LBN Legal business name | Carlson, Eric R. |
Credentials | MD, DMD |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 2nd, 2006 |
Last updated | Sep 26th, 2012 - about 12 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 | 1174616171 | NPPES |
Tennessee | MEDICAID | 3227456 |
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