Carlson, Matthew
Carlson, Matthew is an individual health care provider with primary practice located at 4500 13Th St , Gulfport MS 39501-2515. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Carlson, Matthew can be contacted via phone (228) 376-0577.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 20383 | Mississippi |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 20383 | Mississippi |
Profile Details
| NPI number | 1609865682 |
|---|---|
| LBN Legal business name | Carlson, Matthew |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 20th, 2005 |
| Last updated | Sep 14th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609865682 | NPPES |
| Mississippi | Other | 20383 | MISSISSIPPI STATE LICENSE |
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