Carlson, James Michael
Carlson, James Michael is an sole proprietor health care provider with primary practice located at 2400 Ne Neff Rd Ste A, Bend OR 97701-6752. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Carlson, James Michael can be contacted via phone (541) 389-3300.Contact Information
Primary practice address
2400 Ne Neff Rd Ste A
Bend OR 97701-6752
Phone: (541) 389-3300
Fax: (541) 389-8115
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | DO23967 | Oregon |
Profile Details
| NPI number | 1104800994 |
|---|---|
| LBN Legal business name | Carlson, James Michael |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 5th, 2005 |
| Last updated | Mar 14th, 2014 - about 10 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 | 1104800994 | NPPES |
| Oregon | MEDICAID | 286583 |
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