Carlson, Perry Albert
Carlson, Perry Albert is an individual health care provider with primary practice located at 5073 Columbia Pike Ste 150, Spring Hill TN 37174-8607. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as his primary health care specialty. Carlson, Perry Albert can be contacted via phone (615) 302-2990.Contact Information
Primary practice address
5073 Columbia Pike Ste 150
Spring Hill TN 37174-8607
Phone: (615) 302-2990
Fax: (615) 302-4638
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | APN0000015982 | Tennessee |
Profile Details
| NPI number | 1487612818 |
|---|---|
| LBN Legal business name | Carlson, Perry Albert |
| Credentials | R.N., C.P.N.P. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 3rd, 2006 |
| Last updated | Dec 30th, 2014 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487612818 | NPPES |
| Mississippi | MEDICAID | 09584287 | |
| Mississippi | MEDICAID | QOO9646 |
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