Carlson, Ina S.

Carlson, Ina S. is an individual health care provider with primary practice located at 1909 Carew St , Fort Wayne IN 46805-4707. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Carlson, Ina S. can be contacted via phone (260) 481-2800.

Contact Information

Primary practice address
1909 Carew St Fort Wayne IN 46805-4707
Phone: (260) 481-2800
Fax: (260) 969-8442
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 20090244A Indiana

Profile Details

NPI number 1265490650
LBN Legal business name Carlson, Ina S.
Credentials PH.D., HSPP
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
Last updated Oct 17th, 2022 - about 3 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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