Carlson, Nancy J.

Carlson, Nancy J. is an individual health care provider with primary practice located at 2400 N Rockton Ave , Rockford IL 61103-3655. She recently has only one registered license in Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine, which is considered as her primary health care specialty. Carlson, Nancy J. can be contacted via phone (815) 971-5000.

Contact Information

Primary practice address
2400 N Rockton Ave Rockford IL 61103-3655
Phone: (815) 971-5000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X MD2016-0001 New Mexico
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X CS00222637 New Mexico
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X 336.032045 Illinois
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X 4301076946 Michigan
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X 036-067902 Illinois

Profile Details

NPI number 1326158502
LBN Legal business name Carlson, Nancy J.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Oct 12th, 2020 - about 4 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 1326158502 NPPES
Illinois MEDICAID 036067902

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