Carlson, Carolyn
Carlson, Carolyn is an individual health care provider with primary practice located at 149 W Cornwall Rd , Sharon CT 06069-2105. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Carlson, Carolyn can be contacted via phone (860) 672-6689.Contact Information
Primary practice address
149 W Cornwall Rd
Sharon CT 06069-2105
Phone: (860) 672-6689
Fax: (860) 672-3021
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 000052 | Connecticut |
Profile Details
| NPI number | 1568521235 |
|---|---|
| LBN Legal business name | Carlson, Carolyn |
| Credentials | M.ED., LADC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 8th, 2006 |
| Last updated | Jan 10th, 2012 - about 14 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 | 1568521235 | NPPES |
| Connecticut | MEDICAID | 004257516 |
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