Carlson, John Robert
Carlson, John Robert is an individual health care provider with primary practice located at 1880 Pottery Ave Suite 100, Port Orchard WA 98366. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Carlson, John Robert can be contacted via phone (360) 895-9090.Contact Information
Primary practice address
1880 Pottery Ave Suite 100
Port Orchard WA 98366
Phone: (360) 895-9090
Fax: (360) 895-9089
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT00003990 | Washington |
Profile Details
| NPI number | 1811949654 |
|---|---|
| LBN Legal business name | Carlson, John Robert |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 17th, 2006 |
| Last updated | Oct 19th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811949654 | NPPES |
| Washington | Other | 0150494 | L L |
| Washington | MEDICAID | 8339343 | L L |
| Washington | Other | P00129558 | L L |
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