Carlson, Kyle Richard

Carlson, Kyle Richard is an sole proprietor health care provider with primary practice located at 1824 Dorchester Ct Ste A , Goshen IN 46526-6819. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Carlson, Kyle Richard can be contacted via phone (574) 534-2548.

Contact Information

Primary practice address
1824 Dorchester Ct Ste A Goshen IN 46526-6819
Phone: (574) 534-2548
Fax: (574) 534-3622
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 02006490A Indiana

Profile Details

NPI number 1255718367
LBN Legal business name Carlson, Kyle Richard
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 28th, 2015
Last updated Feb 5th, 2024 - about 2 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 1255718367 NPPES
Indiana MEDICAID 300052895

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