Carlson, Gerald E
Carlson, Gerald E is an sole proprietor health care provider with primary practice located at 1603 12Th Ave Rd Ste. B, Nampa ID 83686-7712. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Carlson, Gerald E can be contacted via phone (208) 467-2400.Contact Information
Primary practice address
1603 12Th Ave Rd Ste. B
Nampa ID 83686-7712
Phone: (208) 467-2400
Fax: (208) 467-6416
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 0-19 | Idaho |
Profile Details
| NPI number | 1053339457 |
|---|---|
| LBN Legal business name | Carlson, Gerald E |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 17th, 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.
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