Carlisle, Robert Louis

Carlisle, Robert Louis is an individual health care provider with primary practice located at 3937 Ivywood Ln , Pueblo CO 81005-2551. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Carlisle, Robert Louis can be contacted via phone (719) 553-0111.

Contact Information

Primary practice address
3937 Ivywood Ln Pueblo CO 81005-2551
Phone: (719) 553-0111
Fax: (719) 553-0117
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 29798 Colorado

Profile Details

NPI number 1689622920
LBN Legal business name Carlisle, Robert Louis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2006
Last updated Aug 18th, 2010 - about 16 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 1689622920 NPPES
Colorado MEDICAID 01297985

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