Carlson, Stephen James

Carlson, Stephen James is an individual health care provider with primary practice located at 7950 N Shadeland Avenue Suite 350, Indianapolis IN 46250. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Carlson, Stephen James can be contacted via phone (317) 578-2600.

Contact Information

Primary practice address
7950 N Shadeland Avenue Suite 350 Indianapolis IN 46250
Fax: (317) 578-6474
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 01049970A Indiana

Profile Details

NPI number 1699743518
LBN Legal business name Carlson, Stephen James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2006
Last updated Nov 27th, 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 1699743518 NPPES
Indiana Other 000000793461 ANTHEM
Indiana MEDICAID 200072620 ANTHEM
Indiana MEDICAID 200072620A ANTHEM
Indiana Other P01170501 ANTHEM

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