Carlson, Kathleen A

Carlson, Kathleen A is an individual health care provider with primary practice located at 761 45Th St Ste 103 , Munster IN 46321-2899. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Allopathic & Osteopathic Physicians / Rheumatology, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Carlson, Kathleen A can be contacted via phone (219) 922-3002.

Contact Information

Primary practice address
761 45Th St Ste 103 Munster IN 46321-2899
Phone: (219) 922-3002
Fax: (219) 922-3003
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 071000108A Indiana
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 71000108A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 71000108 Indiana

Profile Details

NPI number 1043253081
LBN Legal business name Carlson, Kathleen A
Credentials NURSE PRACTITIONER
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Mar 8th, 2023 - about last year

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 1043253081 NPPES
Indiana MEDICAID 200062110A
Indiana MEDICAID 200062110

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