Carlson, Robert D

Carlson, Robert D is an individual health care provider with primary practice located at 47 E Main St , Stafford Springs CT 06076-1227. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Carlson, Robert D can be contacted via phone (860) 684-5848.

Contact Information

Primary practice address
47 E Main St Stafford Springs CT 06076-1227
Phone: (860) 684-5848
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 029923 Connecticut

Profile Details

NPI number 1013900174
LBN Legal business name Carlson, Robert D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2005
Last updated Jan 11th, 2013 - about 12 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 1013900174 NPPES
Connecticut Other 61373363 UNITED HEALTH CARE
Connecticut MEDICAID 1299230 UNITED HEALTH CARE
Connecticut Other 0129923000 UNITED HEALTH CARE
Connecticut Other 010029923-CT01 UNITED HEALTH CARE
Connecticut Other 0R3605 UNITED HEALTH CARE
Connecticut Other 4230366 UNITED HEALTH CARE
Connecticut Other TOP027 UNITED HEALTH CARE
Connecticut Other 01029923 UNITED HEALTH CARE
Connecticut Other 029923 UNITED HEALTH CARE

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