Carlson, Tim John
Carlson, Tim John is an individual health care provider with primary practice located at 513 S 13Th St , Omaha NE 68102-2813. He recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as his primary health care specialty. Carlson, Tim John can be contacted via phone (402) 344-0219.Contact Information
Primary practice address
513 S 13Th St
Omaha NE 68102-2813
Phone: (402) 344-0219
Fax: (402) 341-4917
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optician | 156FX1800X |
Profile Details
| NPI number | 1750405635 |
|---|---|
| LBN Legal business name | Carlson, Tim John |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 18th, 2007 |
| 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 | 1750405635 | NPPES |
| Nebraska | MEDICAID | 47080158800 |
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