Carlson, Scott
Carlson, Scott is an individual health care provider with primary practice located at 10 Saint Clare Ct , Washington IL 61571-9239. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Carlson, Scott can be contacted via phone (309) 886-4003.Contact Information
Primary practice address
10 Saint Clare Ct
Washington IL 61571-9239
Phone: (309) 886-4003
Fax: (309) 886-4116
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 036-076809 | Illinois |
Profile Details
| NPI number | 1386726255 |
|---|---|
| LBN Legal business name | Carlson, Scott |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 20th, 2006 |
| Last updated | Apr 12th, 2010 - about 15 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 | 1386726255 | NPPES |
| Illinois | MEDICAID | 036076809 |
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