Carlson, Renee L

Carlson, Renee L is an individual health care provider with primary practice located at 406 S Gosse Blvd , Princeton IL 61356-1916. She recently has only one registered license in Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics, which is considered as her primary health care specialty. Carlson, Renee L can be contacted via phone (815) 875-4548.

Contact Information

Primary practice address
406 S Gosse Blvd Princeton IL 61356-1916
Phone: (815) 875-4548
Fax: (815) 875-8602
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics 2080P0006X RC11700805P Illinois

Profile Details

NPI number 1245322759
LBN Legal business name Carlson, Renee L
Credentials DT
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2006
Last updated Jul 8th, 2007 - about 17 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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