Carlsen, Thomas J

Carlsen, Thomas J is an individual health care provider with primary practice located at 2200 Ne Neff Rd Ste 200, Bend OR 97701-4281. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine, Sports Medicine, which is considered as his primary health care specialty. Carlsen, Thomas J can be contacted via phone (541) 382-3344.

Contact Information

Primary practice address
2200 Ne Neff Rd Ste 200 Bend OR 97701-4281
Phone: (541) 382-3344
Fax: (541) 382-1681
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine, Sports Medicine 204C00000X MD12666 Oregon

Profile Details

NPI number 1962407585
LBN Legal business name Carlsen, Thomas J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2005
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 1962407585 NPPES
Oregon Other MD12666 OBME
Oregon MEDICAID 232504 OBME

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