Carlson, Gregory
Carlson, Gregory is an individual health care provider with primary practice located at 1400 E Boulder St Suite 600, Colorado Springs CO 80909-5533. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Carlson, Gregory can be contacted via phone (719) 365-6487.Contact Information
Primary practice address
1400 E Boulder St Suite 600
Colorado Springs CO 80909-5533
Phone: (719) 365-6487
Fax: (719) 364-6488
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | DR.0042262 | Colorado |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | DR.0042262 | Colorado |
Profile Details
| NPI number | 1073590972 |
|---|---|
| LBN Legal business name | Carlson, Gregory |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 30th, 2005 |
| Last updated | Feb 10th, 2020 - about 4 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 | 1073590972 | NPPES |
| Colorado | MEDICAID | 46032240 |
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