Carlson, Charles Rock

Carlson, Charles Rock is an sole proprietor health care provider with primary practice located at 1660 E Roseville Pkwy Ste 100 , Roseville CA 95661-3988. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Carlson, Charles Rock can be contacted via phone (916) 973-5300.

Contact Information

Primary practice address
1660 E Roseville Pkwy Ste 100 Roseville CA 95661-3988
Phone: (916) 973-5300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 20A20898 California
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 34.013717 Ohio

Profile Details

NPI number 1376077826
LBN Legal business name Carlson, Charles Rock
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 11th, 2017
Last updated Feb 13th, 2024 - about 2 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1376077826 NPPES
Ohio MEDICAID 0235202

Popular Providers