Carlson, Chester L.

Carlson, Chester L. is an individual health care provider with primary practice located at 5212 Village Pkwy , Rogers AR 72758-8104. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Carlson, Chester L. can be contacted via phone (479) 657-6888.

Contact Information

Primary practice address
5212 Village Pkwy Rogers AR 72758-8104
Phone: (479) 657-6888
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X E-5307 Arkansas
Allopathic & Osteopathic Physicians / General Practice 208D00000X E5307 Arkansas
Allopathic & Osteopathic Physicians / General Practice 208D00000X E-5307 Arkansas

Profile Details

NPI number 1164544045
LBN Legal business name Carlson, Chester L.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2007
Last updated Apr 2nd, 2015 - about 11 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 1164544045 NPPES
Arkansas MEDICAID 166986003
Arkansas Other 5H348

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