Carlsson, Wayne Robert

Carlsson, Wayne Robert is an sole proprietor health care provider with primary practice located at 60 W Fairmount Ave , Lakewood NY 14750-1723. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Carlsson, Wayne Robert can be contacted via phone (716) 763-0949.

Contact Information

Primary practice address
60 W Fairmount Ave Lakewood NY 14750-1723
Phone: (716) 763-0949
Fax: (716) 763-0952
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X X010927 New York

Profile Details

NPI number 1720054141
LBN Legal business name Carlsson, Wayne Robert
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 25th, 2006
Last updated Jul 8th, 2007 - about 17 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 1720054141 NPPES
New York Other C10927-4B WORKER'S COMPENSATION
New York Other 000270363-01 WORKER'S COMPENSATION
New York Other 000293039003 WORKER'S COMPENSATION
New York Other 8812768 WORKER'S COMPENSATION

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