Carlson, Glenn George

Carlson, Glenn George is an individual health care provider with primary practice located at 601 John St Ste M-510 , Kalamazoo MI 49007-5341. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as his primary health care specialty. Carlson, Glenn George can be contacted via phone (269) 341-7762.

Contact Information

Primary practice address
601 John St Ste M-510 Kalamazoo MI 49007-5341
Phone: (269) 341-7762
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 4704163322 Michigan

Profile Details

NPI number 1609103589
LBN Legal business name Carlson, Glenn George
Credentials ACNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 12th, 2009
Last updated Mar 3rd, 2022 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1609103589 NPPES
Michigan MEDICAID 1609103589
Michigan Other 1003822412

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