Carlson, John Dale
Carlson, John Dale is an sole proprietor health care provider with primary practice located at 492 N Wilson St , Crestview FL 32536-3442. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Carlson, John Dale can be contacted via phone (850) 682-5332.Contact Information
Primary practice address
492 N Wilson St
Crestview FL 32536-3442
Phone: (850) 682-5332
Fax: (850) 682-8486
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | ME0051484 | Florida |
Profile Details
| NPI number | 1932131596 |
|---|---|
| LBN Legal business name | Carlson, John Dale |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 6th, 2006 |
| Last updated | Jul 9th, 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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