Carlson, Gregory

Carlson, Gregory is an individual health care provider with primary practice located at 1400 E Boulder St Suite 600, Colorado Springs CO 80909-5533. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Carlson, Gregory can be contacted via phone (719) 365-6487.

Contact Information

Primary practice address
1400 E Boulder St Suite 600 Colorado Springs CO 80909-5533
Phone: (719) 365-6487
Fax: (719) 364-6488
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X DR.0042262 Colorado
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X DR.0042262 Colorado

Profile Details

NPI number 1073590972
LBN Legal business name Carlson, Gregory
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 30th, 2005
Last updated Feb 10th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073590972 NPPES
Colorado MEDICAID 46032240

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