Carlson, Molly Jo

Carlson, Molly Jo is an individual health care provider with primary practice located at 3850 Park Nicollet Blvd , St Louis Park MN 55416-2527. She recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as her primary health care specialty. Carlson, Molly Jo can be contacted via phone (952) 993-3400.

Contact Information

Primary practice address
3850 Park Nicollet Blvd St Louis Park MN 55416-2527
Phone: (952) 993-3400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 64889 Minnesota
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X MD00044766 Washington

Profile Details

NPI number 1932149176
LBN Legal business name Carlson, Molly Jo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
Last updated Feb 11th, 2019 - about 5 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 1932149176 NPPES
Washington MEDICAID 1932149176

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