Carlson, Michael John

Carlson, Michael John is an sole proprietor health care provider with primary practice located at 108 W Market St , Bloomington IL 61701-3918. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Carlson, Michael John can be contacted via phone (309) 827-5351.

Contact Information

Primary practice address
108 W Market St Bloomington IL 61701-3918
Phone: (309) 827-5351
Fax: (309) 829-6808
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1780723254
LBN Legal business name Carlson, Michael John
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 5th, 2007
Last updated Jul 8th, 2007 - about 17 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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