Carlson, Glenn H

Carlson, Glenn H is an individual health care provider with primary practice located at 4235 Secor Rd , Toledo OH 43623-4231. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Carlson, Glenn H can be contacted via phone (419) 479-5556.

Contact Information

Primary practice address
4235 Secor Rd Toledo OH 43623-4231
Fax: (419) 479-3976
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 35055995 Ohio

Profile Details

NPI number 1669464558
LBN Legal business name Carlson, Glenn H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2005
Last updated Aug 4th, 2008 - about 16 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 1669464558 NPPES
Ohio MEDICAID 0682060
Ohio Other TO9121521

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