Odegard, Carson Edward

Odegard, Carson Edward is an sole proprietor health care provider with primary practice located at 816 6Th St S , Kirkland WA 98033-6714. He recently has 2 registered licenses in different health care specialties including Managed Care Organizations / Health Maintenance Organization, Chiropractic Providers / Sports Physician. Chiropractic Providers / Sports Physician is his primary health care specialty. Odegard, Carson Edward can be contacted via phone (425) 827-4646.

Contact Information

Primary practice address
816 6Th St S Kirkland WA 98033-6714
Phone: (425) 827-4646
Fax: (425) 827-1941
Website:
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Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Health Maintenance Organization 302R00000X 1558 Washington
Chiropractic Providers / Sports Physician 111NS0005X 1558 Washington

Profile Details

NPI number 1487607164
LBN Legal business name Odegard, Carson Edward
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 17th, 2006
Last updated Nov 22nd, 2017 - about 7 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 1487607164 NPPES
Washington Other 010752001 GROUP HEALTH
Washington Other 95126 GROUP HEALTH
Washington Other OD-0076 GROUP HEALTH
Washington Other 391945651 GROUP HEALTH

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