Carlson, Ryan M.

Carlson, Ryan M. is an individual health care provider with primary practice located at 1933 Ohio Drive , Grove City OH 43123-4835. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Procedural Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Carlson, Ryan M. can be contacted via phone (614) 277-9530.

Contact Information

Primary practice address
1933 Ohio Drive Grove City OH 43123-4835
Phone: (614) 277-9530
Fax: (614) 277-2227
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 5101016570 Michigan
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X 34.009281 Ohio
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 34.009281 Ohio

Profile Details

NPI number 1053534172
LBN Legal business name Carlson, Ryan M.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2007
Last updated Mar 4th, 2015 - about 10 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 1053534172 NPPES
Ohio MEDICAID 2851301

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