Carlson, Karl C

Carlson, Karl C is an sole proprietor health care provider with primary practice located at 725 Hamilton Street Suite D, Roanoke Rapids NC 27870-2746. He recently has 2 registered licenses in different health care specialties including Suppliers / Prosthetic/Orthotic Supplier, Suppliers / Customized Equipment. Suppliers / Prosthetic/Orthotic Supplier is his primary health care specialty. Carlson, Karl C can be contacted via phone (910) 391-3782.

Contact Information

Primary practice address
725 Hamilton Street Suite D Roanoke Rapids NC 27870-2746
Phone: (910) 391-3782
Fax: (252) 535-0078
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Prosthetic/Orthotic Supplier 335E00000X
Suppliers / Customized Equipment 332BC3200X

Profile Details

NPI number 1497711717
LBN Legal business name Carlson, Karl C
Credentials CP, BOCOP, CPT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 25th, 2006
Last updated Dec 19th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497711717 NPPES
North Carolina Other 047C0 BLUE CROSS & BLUE SHIELD
North Carolina MEDICAID 7704534 BLUE CROSS & BLUE SHIELD

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