Carlson, Kevin E
Carlson, Kevin E is an sole proprietor health care provider with primary practice located at 10700 Charter Dr Ste 200, Columbia MD 21044-3629. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Carlson, Kevin E can be contacted via phone (410) 910-7444.Contact Information
Primary practice address
10700 Charter Dr Ste 200
Columbia MD 21044-3629
Phone: (410) 910-7444
Fax: (410) 910-2310
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | D0053636 | Maryland |
Profile Details
| NPI number | 1811981905 |
|---|---|
| LBN Legal business name | Carlson, Kevin E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 6th, 2005 |
| Last updated | Jan 31st, 2012 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811981905 | NPPES |
| Maryland | Other | 68747002 | BC/BS OF MD |
| Maryland | MEDICAID | 769200500 | BC/BS OF MD |
| Maryland | Other | B6100006 | BC/BS OF MD |
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