Carlson, Trent Patrick

Carlson, Trent Patrick is an individual health care provider with primary practice located at 1409 Ridgeway Rd , Marshall MN 56258-2153. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Carlson, Trent Patrick can be contacted via phone (612) 385-7105.

Contact Information

Primary practice address
1409 Ridgeway Rd Marshall MN 56258-2153
Phone: (612) 385-7105
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 32114 Minnesota

Profile Details

NPI number 1588689947
LBN Legal business name Carlson, Trent Patrick
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2006
Last updated May 3rd, 2021 - about 4 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 1588689947 NPPES
Minnesota MEDICAID 072390800

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