Carlson, Joel M
Carlson, Joel M is an sole proprietor health care provider with primary practice located at 420 Dewey Street , Wisconsin Rapids WI 54495-0005. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Carlson, Joel M can be contacted via phone (715) 421-1001.Contact Information
Primary practice address
420 Dewey Street
Wisconsin Rapids WI 54495-0005
Phone: (715) 421-1001
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 33239 | Wisconsin |
Profile Details
| NPI number | 1063423515 |
|---|---|
| LBN Legal business name | Carlson, Joel M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 10th, 2006 |
| Last updated | Jul 27th, 2015 - 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 | 1063423515 | NPPES |
| Wisconsin | MEDICAID | 31818600 |
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