Carlson, Jeffrey James

Carlson, Jeffrey James is an individual health care provider with primary practice located at 2104 Northdale Blvd Nw Suite 100, Coon Rapids MN 55433-3005. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Carlson, Jeffrey James can be contacted via phone (763) 755-5495.

Contact Information

Primary practice address
2104 Northdale Blvd Nw Suite 100 Coon Rapids MN 55433-3005
Phone: (763) 755-5495
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X

Profile Details

NPI number 1003987132
LBN Legal business name Carlson, Jeffrey James
Credentials M ED, ATC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 12th, 2006
Last updated Jul 8th, 2007 - about 18 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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