Carlson, Walter O

Carlson, Walter O is an individual health care provider with primary practice located at 810 E 23Rd St , Sioux Falls SD 57105-2135. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Carlson, Walter O can be contacted via phone (605) 331-5890.

Contact Information

Primary practice address
810 E 23Rd St Sioux Falls SD 57105-2135
Phone: (605) 331-5890
Fax: (605) 336-3974
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 1241 South Dakota
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 47259 Minnesota
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 26304 Iowa

Profile Details

NPI number 1003823170
LBN Legal business name Carlson, Walter O
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2006
Last updated Jan 16th, 2010 - about 15 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 1003823170 NPPES
South Dakota Other 200010316 RAILROAD MEDICARE
South Dakota MEDICAID 6400350 RAILROAD MEDICARE

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