Carlson, Norman R.

Carlson, Norman R. is an individual health care provider with primary practice located at 600 Orondo Ave , Wenatchee WA 98801-2800. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Carlson, Norman R. can be contacted via phone (509) 664-6000.

Contact Information

Primary practice address
600 Orondo Ave Wenatchee WA 98801-2800
Fax: (509) 664-4588
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X DE00004604 Washington

Profile Details

NPI number 1538361217
LBN Legal business name Carlson, Norman R.
Credentials DDS, MS
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2007
Last updated Jan 24th, 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 1538361217 NPPES
Washington MEDICAID 2117506

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