Carlsson, Chad A
Carlsson, Chad A is an individual health care provider with primary practice located at 710 Hopewell Dr Ste 106 , Charleston SC 29492-7108. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Carlsson, Chad A can be contacted via phone (843) 543-6333.Contact Information
Primary practice address
710 Hopewell Dr Ste 106
Charleston SC 29492-7108
Phone: (843) 543-6333
Fax: (843) 543-6332
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2242 | South Carolina |
Profile Details
| NPI number | 1508853904 |
|---|---|
| LBN Legal business name | Carlsson, Chad A |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 30th, 2005 |
| Last updated | May 29th, 2024 - about last year |
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 | 1508853904 | NPPES |
| Other | 11555337 | CAQH |
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