Carlson, Michele R

Carlson, Michele R is an individual health care provider with primary practice located at 900 S Dixie Dr Suite 40, Vandalia OH 45377-2657. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Carlson, Michele R can be contacted via phone (937) 890-6644.

Contact Information

Primary practice address
900 S Dixie Dr Suite 40 Vandalia OH 45377-2657
Phone: (937) 890-6644
Fax: (937) 890-1726
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X COA.06692-NM Ohio

Profile Details

NPI number 1174799118
LBN Legal business name Carlson, Michele R
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 30th, 2008
Last updated Nov 6th, 2013 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1174799118 NPPES
Ohio MEDICAID 3100469
Ohio Other RX06692

Popular Providers