Carlson, Eric Robert
Carlson, Eric Robert is an individual health care provider with primary practice located at 350 E 300 N , American Fork UT 84003. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Carlson, Eric Robert can be contacted via phone (801) 756-3847.Contact Information
Primary practice address
350 E 300 N
American Fork UT 84003
Phone: (801) 756-3847
Fax: (801) 756-3847
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 3456832401 | Utah |
Profile Details
NPI number | 1881761930 |
---|---|
LBN Legal business name | Carlson, Eric Robert |
Credentials | MSPT |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 30th, 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 | 1881761930 | NPPES |
Utah | MEDICAID | D2033 |
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