Carlson, Maryann
Carlson, Maryann is an individual health care provider with primary practice located at Po Box 1459 , Columbia Falls MT 59912-1459. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Carlson, Maryann can be contacted via phone (406) 892-3208.Contact Information
Primary practice address
Po Box 1459
Columbia Falls MT 59912-1459
Phone: (406) 892-3208
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 4176 | Montana |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 4176 | Montana |
Profile Details
| NPI number | 1356317010 |
|---|---|
| LBN Legal business name | Carlson, Maryann |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 23rd, 2006 |
| Last updated | Dec 8th, 2017 - about 9 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 | 1356317010 | NPPES |
| Montana | MEDICAID | 0102782 | |
| Montana | Other | 0000095390 |
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