Carlson, Keith Cameron
Carlson, Keith Cameron is an individual health care provider with primary practice located at 11511 Ne 10Th St , Bellevue WA 98004-8578. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Carlson, Keith Cameron can be contacted via phone (425) 502-3000.Contact Information
Primary practice address
11511 Ne 10Th St
Bellevue WA 98004-8578
Phone: (425) 502-3000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | MD60650552 | Washington |
Profile Details
| NPI number | 1093749640 |
|---|---|
| LBN Legal business name | Carlson, Keith Cameron |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 10th, 2006 |
| Last updated | Mar 31st, 2021 - about 3 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 | 1093749640 | NPPES |
| California | Other | 00G501320 | MEDICAL PPIN # |
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