Carstensen, Karissa E
Carstensen, Karissa E is an individual health care provider with primary practice located at Msc 10 5590 1 University Of New Mexico, Albuquerque NM 87131-0001. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Carstensen, Karissa E can be contacted via phone (505) 272-5551.Contact Information
Primary practice address
Msc 10 5590 1 University Of New Mexico
Albuquerque NM 87131-0001
Phone: (505) 272-5551
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | RS2013-0348 | New Mexico |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD176951 | Oregon |
Profile Details
| NPI number | 1538401948 |
|---|---|
| LBN Legal business name | Carstensen, Karissa E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 24th, 2013 |
| Last updated | Sep 19th, 2019 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538401948 | NPPES |
| Oregon | MEDICAID | 500707979 |
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