Carlson, Derek Carl
Carlson, Derek Carl is an individual health care provider with primary practice located at 301 E Saint Joseph St , Green Bay WI 54301-2241. He recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as his primary health care specialty. Carlson, Derek Carl can be contacted via phone (920) 433-3630.Contact Information
Primary practice address
301 E Saint Joseph St
Green Bay WI 54301-2241
Phone: (920) 433-3630
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | 4301106248 | Michigan |
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | 61608-20 | Wisconsin |
Profile Details
| NPI number | 1790775450 |
|---|---|
| LBN Legal business name | Carlson, Derek Carl |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 25th, 2005 |
| Last updated | Nov 23rd, 2020 - about 6 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.
Popular Providers
-
Martin, Christopher G
85 Bryant Woods S , Amherst NY 14228-3604 -
Chruscicki, Joseph E
141 Sullys Trl Ste 5B, Pittsford NY 14534-4563 -
Chruscicki, Christine M
100 Pinewild Dr Suite 2A, Rochester NY 14606-4200 -
Speer, Connie Lou
1407 M D Ln Ste A, Tallahassee FL 32308-5349 -
Mccormick, Thomas R
24001 Greater Mack Ave Ste B, St Clair Shores MI 48080-1407 -
Tran, Susan
1160 Kepler Dr , Green Bay WI 54311-8321 -
Lyles, William Bradford
840 Willard Dr Suite 201, Green Bay WI 54304-5204 -
Feigl, Frances Marie
20 E Evergreen Ave , Somerdale NJ 08083-1402