Carlson, Eric R.

Carlson, Eric R. is an sole proprietor health care provider with primary practice located at 1930 Alcoa Hwy Ste 335, Knoxville TN 37920-1585. He recently has only one registered license in Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, which is considered as his primary health care specialty. Carlson, Eric R. can be contacted via phone (865) 305-9022.

Contact Information

Primary practice address
1930 Alcoa Hwy Ste 335 Knoxville TN 37920-1585
Phone: (865) 305-9022
Fax: (865) 305-9026
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X MD38394 Tennessee
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X 7998 Tennessee

Profile Details

NPI number 1174616171
LBN Legal business name Carlson, Eric R.
Credentials MD, DMD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 2nd, 2006
Last updated Sep 26th, 2012 - about 13 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 1174616171 NPPES
Tennessee MEDICAID 3227456

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