Carlson, Jeffrey Lynn

Carlson, Jeffrey Lynn is an individual health care provider with primary practice located at 1000 Michigan St , Sidney OH 45365-2404. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Carlson, Jeffrey Lynn can be contacted via phone (937) 492-1211.

Contact Information

Primary practice address
1000 Michigan St Sidney OH 45365-2404
Phone: (937) 492-1211
Fax: (937) 492-6557
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 36003576 Ohio
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 7054576-0501 Utah

Profile Details

NPI number 1609027689
LBN Legal business name Carlson, Jeffrey Lynn
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 8th, 2008
Last updated Jul 26th, 2011 - about 13 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 1609027689 NPPES
Ohio MEDICAID 3133424

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