Carlson Jr, Richard Andrew
Carlson Jr, Richard Andrew is an individual health care provider with primary practice located at 1491 Sheridan Dr Sheridan Medical Group, Tonawanda NY 14217-1234. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Carlson Jr, Richard Andrew can be contacted via phone (716) 332-4476.Contact Information
Primary practice address
1491 Sheridan Dr Sheridan Medical Group
Tonawanda NY 14217-1234
Phone: (716) 332-4476
Fax: (716) 332-4479
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 183745 | New York |
Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | 183745 | New York |
Profile Details
NPI number | 1740246735 |
---|---|
LBN Legal business name | Carlson Jr, Richard Andrew |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 26th, 2006 |
Last updated | Jan 25th, 2013 - about 11 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 | 1740246735 | NPPES |
New York | MEDICAID | 01226122 |
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