Carlson, Michael J.

Carlson, Michael J. is an individual health care provider with primary practice located at 635 N Washington Hwy , Ashland VA 23005-1317. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Carlson, Michael J. can be contacted via phone (804) 798-9208.

Contact Information

Primary practice address
635 N Washington Hwy Ashland VA 23005-1317
Fax: (804) 798-8108
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0101054349 Virginia

Profile Details

NPI number 1760414833
LBN Legal business name Carlson, Michael J.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2006
Last updated Jan 2nd, 2010 - about 16 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 1760414833 NPPES
Virginia MEDICAID 005821274
Virginia Other 223935
Virginia Other 2263771
Virginia Other 84862
Virginia Other 267461
Virginia Other 5080654
Virginia Other 110170591
Virginia Other 5080654
Virginia Other 84862
Virginia Other C05704

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