Carlson, Theresa

Carlson, Theresa is an individual health care provider with primary practice located at 2300 Western Ave , Manitowoc WI 54220-3712. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Nursing Service Providers / Emergency. Nursing Service Providers / Emergency is her primary health care specialty. Carlson, Theresa can be contacted via phone (920) 320-2011.

Contact Information

Primary practice address
2300 Western Ave Manitowoc WI 54220-3712
Phone: (920) 320-2011
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 000000 Wisconsin
Nursing Service Providers / Emergency 163WE0003X 239835-30 Wisconsin

Profile Details

NPI number 1558068114
LBN Legal business name Carlson, Theresa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2023
Last updated Feb 13th, 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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