Carlson, Mark A

Carlson, Mark A is an sole proprietor health care provider with primary practice located at 988102 Nebraska Medical Ctr , Omaha NE 68198-8102. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Carlson, Mark A can be contacted via phone (402) 559-4075.

Contact Information

Primary practice address
988102 Nebraska Medical Ctr Omaha NE 68198-8102
Fax: (402) 559-6749
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 21117 Nebraska

Profile Details

NPI number 1477511269
LBN Legal business name Carlson, Mark A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 2nd, 2006
Last updated Jun 29th, 2011 - about 14 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 1477511269 NPPES
Nebraska MEDICAID 47078557580

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