Carlson, Roy Douglas
Carlson, Roy Douglas is an individual health care provider with primary practice located at 204 Ark Rd Suite 102, Mount Laurel NJ 08054-3100. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Carlson, Roy Douglas can be contacted via phone (856) 602-4000.Contact Information
Primary practice address
204 Ark Rd Suite 102
Mount Laurel NJ 08054-3100
Phone: (856) 602-4000
Fax: (856) 946-1747
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | MA46109 | New Jersey |
Profile Details
NPI number | 1932142858 |
---|---|
LBN Legal business name | Carlson, Roy Douglas |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 14th, 2006 |
Last updated | May 17th, 2022 - about 2 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 | 1932142858 | NPPES |
New Jersey | MEDICAID | 0371408 |
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