Lindgren, Carl A

Lindgren, Carl A is an sole proprietor health care provider with primary practice located at 3023 Pacific Ave Se , Olympia WA 98501-2042. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Lindgren, Carl A can be contacted via phone (360) 528-4220.

Contact Information

Primary practice address
3023 Pacific Ave Se Olympia WA 98501-2042
Fax: (360) 528-4226
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD00027556 Washington
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD00027556 Washington

Profile Details

NPI number 1982681029
LBN Legal business name Lindgren, Carl A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 29th, 2005
Last updated Jan 13th, 2020 - about 4 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 1982681029 NPPES
Washington MEDICAID 8119364

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