Carlson, John Steven
Carlson, John Steven is an sole proprietor health care provider with primary practice located at 601 Abbott Rd Suite 101, East Lansing MI 48823-3366. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Clinical Child & Adolescent is his primary health care specialty. Carlson, John Steven can be contacted via phone (517) 282-7717.Contact Information
Primary practice address
601 Abbott Rd Suite 101
East Lansing MI 48823-3366
Phone: (517) 282-7717
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | 6301011692 | Michigan |
| Behavioral Health & Social Service Providers / School | 103TS0200X | 6301011692 | Michigan |
Profile Details
| NPI number | 1760693956 |
|---|---|
| LBN Legal business name | Carlson, John Steven |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 27th, 2007 |
| Last updated | Jul 9th, 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 | 1760693956 | NPPES |
| Michigan | Other | 11273210 | CAQH PROVIDER ID NUMBER |
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