Carlson, Jerry Dale
Carlson, Jerry Dale is an individual health care provider with primary practice located at 955 N Main St , Spanish Fork UT 84660-1150. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Carlson, Jerry Dale can be contacted via phone (801) 798-3557.Contact Information
Primary practice address
955 N Main St
Spanish Fork UT 84660-1150
Phone: (801) 798-3557
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 5154950-9934 | Utah |
Profile Details
| NPI number | 1982651287 |
|---|---|
| LBN Legal business name | Carlson, Jerry Dale |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 30th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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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