Carlson, Jason J

Carlson, Jason J is an individual health care provider with primary practice located at 1301 N Alpine Rd , Rockford IL 61107-2262. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Carlson, Jason J can be contacted via phone (815) 397-4280.

Contact Information

Primary practice address
1301 N Alpine Rd Rockford IL 61107-2262
Phone: (815) 397-4280
Fax: (815) 484-2436
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 019030301 Illinois

Profile Details

NPI number 1437533643
LBN Legal business name Carlson, Jason J
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2015
Last updated Jul 17th, 2015 - about 11 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.

Request for update

Popular Providers