Carlson, Stanley E
Carlson, Stanley E is an sole proprietor health care provider with primary practice located at 230 E 22Nd St Suite #3, Fremont NE 68025-2661. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Carlson, Stanley E can be contacted via phone (402) 721-8805.Contact Information
Primary practice address
230 E 22Nd St Suite #3
Fremont NE 68025-2661
Phone: (402) 721-8805
Fax: (412) 727-4839
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 683 | Nebraska |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 2105 | Nebraska |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 1200 | Nebraska |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 18 | Nebraska |
Profile Details
| NPI number | 1659381507 |
|---|---|
| LBN Legal business name | Carlson, Stanley E |
| Credentials | MDIV,LMHP,CPC,LADC, |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 9th, 2006 |
| Last updated | Jun 9th, 2021 - about 3 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 | 1659381507 | NPPES |
| Nebraska | MEDICAID | 10025637500 | |
| Nebraska | MEDICAID | 10025820000 |
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