Carlson, Todd J
Carlson, Todd J is an individual health care provider with primary practice located at 915 Sheridan St Suite B103, Port Townsend WA 98368-2931. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Carlson, Todd J can be contacted via phone (360) 379-8031.Contact Information
Primary practice address
915 Sheridan St Suite B103
Port Townsend WA 98368-2931
Phone: (360) 379-8031
Fax: (360) 385-0418
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD00038106 | Washington |
Profile Details
| NPI number | 1164475554 |
|---|---|
| LBN Legal business name | Carlson, Todd J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 18th, 2006 |
| Last updated | Sep 1st, 2011 - about 13 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 | 1164475554 | NPPES |
| Washington | MEDICAID | 1109834 | |
| Washington | Other | AB37466 |
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