Carlson, Terry
Carlson, Terry is an individual health care provider with primary practice located at 550 N Hillside St , Wichita KS 67214-4910. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Carlson, Terry can be contacted via phone (316) 962-2877.Contact Information
Primary practice address
550 N Hillside St
Wichita KS 67214-4910
Phone: (316) 962-2877
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 04-18087 | Kansas |
Profile Details
| NPI number | 1720063183 |
|---|---|
| LBN Legal business name | Carlson, Terry |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 8th, 2005 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1720063183 | NPPES |
| Kansas | Other | 025046 | BCBS OF KS |
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