Carlson, Kyle Richard
Carlson, Kyle Richard is an sole proprietor health care provider with primary practice located at 1824 Dorchester Ct Ste A , Goshen IN 46526-6819. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Carlson, Kyle Richard can be contacted via phone (574) 534-2548.Contact Information
Primary practice address
1824 Dorchester Ct Ste A
Goshen IN 46526-6819
Phone: (574) 534-2548
Fax: (574) 534-3622
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 02006490A | Indiana |
Profile Details
| NPI number | 1255718367 |
|---|---|
| LBN Legal business name | Carlson, Kyle Richard |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 28th, 2015 |
| Last updated | Feb 5th, 2024 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255718367 | NPPES |
| Indiana | MEDICAID | 300052895 |
Popular Providers
-
Koronkiewicz, David Chester
1824 Dorchester Ct , Goshen IN 46526-6476 -
Moore, Robert Keith
2831 New Hartford Rd , Owensboro KY 42303-1320 -
Babins, David M
300 State St Ste 400A, Erie PA 16507-1427 -
Nelson, Benjamin H
213 Middlebury St , Goshen IN 46528-2956 -
Owens, Christopher John
1824 Dorchester Ct Ste A , Goshen IN 46526-6819 -
Rolle, Garrison A
3334 Capital Medical Blvd Ste 400, Tallahassee FL 32308-8405 -
Boone, David W
3001 Edwards Mill Rd Suite 200, Raleigh NC 27612-5243 -
Isbell, William M
3001 Edwards Mill Rd Suite 200, Raleigh NC 27612-5243