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:
Health care specialties
| Specialty | Code | License # | 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 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639125651 | NPPES |
| New York | MEDICAID | 00456271 | |
| New York | Other | 1007058Y |
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