Carlson, Wyatt

Carlson, Wyatt is an individual health care provider with primary practice located at 2162 18 1/2 St , Rice Lake WI 54868-9503. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Student, Health Care / Student in an Organized Health Care Education/Training Program. Student, Health Care / Student in an Organized Health Care Education/Training Program is his primary health care specialty. Carlson, Wyatt can be contacted via phone (715) 651-3309.

Contact Information

Primary practice address
2162 18 1/2 St Rice Lake WI 54868-9503
Phone: (715) 651-3309
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1801337886
LBN Legal business name Carlson, Wyatt
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 10th, 2017
Last updated Mar 10th, 2017 - about 7 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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