Carlson, Lee Ann
Carlson, Lee Ann is an individual health care provider with primary practice located at 1109 Jadwin Ave , Richland WA 99352-3434. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Carlson, Lee Ann can be contacted via phone (509) 946-8497.Contact Information
Primary practice address
1109 Jadwin Ave
Richland WA 99352-3434
Phone: (509) 946-8497
Fax: (509) 946-8767
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT00005078 | Washington |
Profile Details
| NPI number | 1497739858 |
|---|---|
| LBN Legal business name | Carlson, Lee Ann |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 30th, 2005 |
| Last updated | Nov 1st, 2012 - about 12 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 | 1497739858 | NPPES |
| Washington | MEDICAID | 1497739858 | |
| Washington | MEDICAID | 8335754 |
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