Carlson, Robert A

Carlson, Robert A is an individual health care provider with primary practice located at 301A Us Route 1 , Scarborough ME 04074-9701. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Pathology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Carlson, Robert A can be contacted via phone (156) 560-2560.

Contact Information

Primary practice address
301A Us Route 1 Scarborough ME 04074-9701
Phone: (156) 560-2560
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Pathology 207ZC0006X 01104300 Michigan
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X MD23532 Maine

Profile Details

NPI number 1972690907
LBN Legal business name Carlson, Robert A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2006
Last updated Aug 5th, 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 1972690907 NPPES
New York Other 282992 NEW YORK MEDICAL LICENSE
New York MEDICAID 30814900 NEW YORK MEDICAL LICENSE

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