Carlson, Derek Mikel

Carlson, Derek Mikel is an individual health care provider with primary practice located at 7277 Nightstalker Way , Fort Campbell KY 42223-5151. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Aerospace Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Aerospace Medicine is his primary health care specialty. Carlson, Derek Mikel can be contacted via phone (270) 798-9416.

Contact Information

Primary practice address
7277 Nightstalker Way Fort Campbell KY 42223-5151
Phone: (270) 798-9416
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 252015 New York
Allopathic & Osteopathic Physicians / Aerospace Medicine 2083A0100X 252015 New York
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1093911885
LBN Legal business name Carlson, Derek Mikel
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2007
Last updated Sep 16th, 2010 - about 15 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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