Carlson, Russell E

Carlson, Russell E is an sole proprietor health care provider with primary practice located at 1093 Delaware Ave Apt 5 , Buffalo NY 14209-1655. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Carlson, Russell E can be contacted via phone (716) 462-4415.

Contact Information

Primary practice address
1093 Delaware Ave Apt 5 Buffalo NY 14209-1655
Phone: (716) 462-4415
Fax: (716) 303-7008
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 189175 New York

Profile Details

NPI number 1821103029
LBN Legal business name Carlson, Russell E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 20th, 2006
Last updated Oct 28th, 2023 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821103029 NPPES
New York Other 7099868 GHI
New York Other 000526654001 GHI
New York Other 010549324 GHI
New York Other 040426002783 GHI
New York Other 010549324 GHI
New York Other 00025759601 GHI
New York Other 2197606 GHI
New York Other 780002093 GHI
New York MEDICAID 02212417 GHI
New York Other PAR05802 GHI

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