Magnussen, Carl Richard

Magnussen, Carl Richard is an individual health care provider with primary practice located at 1000 S Ave , Rochester NY 14620-2733. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Allergy & Immunology, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Magnussen, Carl Richard can be contacted via phone (585) 341-6867.

Contact Information

Primary practice address
1000 S Ave Rochester NY 14620-2733
Phone: (585) 341-6867
Fax: (585) 341-8205
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 122394 New York
Allopathic & Osteopathic Physicians / Allergy & Immunology 207RA0201X 122394 New York
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 122394 New York

Profile Details

NPI number 1639125651
LBN Legal business name Magnussen, Carl Richard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2006
Last updated Jul 8th, 2007 - about 18 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 1639125651 NPPES
New York MEDICAID 00456271
New York Other 1007058Y

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