Carlson, Richard B

Carlson, Richard B is an individual health care provider with primary practice located at 111 S Front St , Harrisburg PA 17101-2010. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. Carlson, Richard B can be contacted via phone (717) 782-5118.

Contact Information

Primary practice address
111 S Front St Harrisburg PA 17101-2010
Phone: (717) 782-5118
Fax: (717) 782-5854
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN293081L Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN293081L Pennsylvania

Profile Details

NPI number 1558301804
LBN Legal business name Carlson, Richard B
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
Last updated Dec 19th, 2017 - about 7 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 1558301804 NPPES
Other 1659253 BLUE SHIELD

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