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
Phone: (360) 528-4220
Fax: (360) 528-4226
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1982681029 | NPPES |
Washington | MEDICAID | 8119364 |
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