Carlson, John Terry
Carlson, John Terry is an individual health care provider with primary practice located at 651 Helen Keller Blvd , Tuscaloosa AL 35404-2983. He recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery. Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery is his primary health care specialty. Carlson, John Terry can be contacted via phone (205) 556-2323.Contact Information
Primary practice address
651 Helen Keller Blvd
Tuscaloosa AL 35404-2983
Phone: (205) 556-2323
Fax: (205) 556-2341
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 3745 | Alabama |
| Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery | 204E00000X | 3745 | Alabama |
Profile Details
| NPI number | 1790725844 |
|---|---|
| LBN Legal business name | Carlson, John Terry |
| Credentials | DMD, MD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 7th, 2006 |
| Last updated | Mar 15th, 2016 - about 8 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 | 1790725844 | NPPES |
| Alabama | MEDICAID | 000090515 |
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