Carlson, Beau

Carlson, Beau is an individual health care provider with primary practice located at 399 E Main St , Columbus OH 43215-5384. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Carlson, Beau can be contacted via phone (614) 355-8550.

Contact Information

Primary practice address
399 E Main St Columbus OH 43215-5384
Phone: (614) 355-8550
Fax: (614) 355-8593
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X C.1000509 Ohio

Profile Details

NPI number 1750627436
LBN Legal business name Carlson, Beau
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 27th, 2012
Last updated Jul 31st, 2017 - about 9 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 1750627436 NPPES
Ohio MEDICAID 0204874
Ohio MEDICAID 2846675

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