Carlson, Craig L

Carlson, Craig L is an individual health care provider with primary practice located at 1100 E 26Th St , Sioux Falls SD 57105-4023. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Carlson, Craig L can be contacted via phone (605) 338-7098.

Contact Information

Primary practice address
1100 E 26Th St Sioux Falls SD 57105-4023
Phone: (605) 338-7098
Fax: (605) 335-3505
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 1642 South Dakota

Profile Details

NPI number 1790725372
LBN Legal business name Carlson, Craig L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2006
Last updated Apr 4th, 2008 - 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 1790725372 NPPES
South Dakota Other 0006401 BLUE CROSS SD
South Dakota MEDICAID 1978056 BLUE CROSS SD
South Dakota MEDICAID 96878200 BLUE CROSS SD
South Dakota Other 34P52CA BLUE CROSS SD
South Dakota MEDICAID 5700312 BLUE CROSS SD

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