Carlson, Erin

Carlson, Erin is an individual health care provider with primary practice located at 3930 Cedar Grove Pkwy , Eagan MN 55122-1403. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Carlson, Erin can be contacted via phone (651) 454-5661.

Contact Information

Primary practice address
3930 Cedar Grove Pkwy Eagan MN 55122-1403
Phone: (651) 454-5661
Fax: (651) 454-5669
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2727 Minnesota

Profile Details

NPI number 1174528608
LBN Legal business name Carlson, Erin
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2005
Last updated Jul 30th, 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 1174528608 NPPES
Minnesota MEDICAID 207248300

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