Carlson, John Raymond

Carlson, John Raymond is an sole proprietor health care provider with primary practice located at 58 Court St , Middlebury VT 05753-1419. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Carlson, John Raymond can be contacted via phone (802) 388-6344.

Contact Information

Primary practice address
58 Court St Middlebury VT 05753-1419
Fax: (802) 388-4103
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 016-0000741 Vermont

Profile Details

NPI number 1215916291
LBN Legal business name Carlson, John Raymond
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 10th, 2006
Last updated Jul 18th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1215916291 NPPES
Vermont MEDICAID 0002436

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