Carlson, Paul Jeffrey
Carlson, Paul Jeffrey is an individual health care provider with primary practice located at 11B First Field Rd , Gaithersburg MD 20878. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Carlson, Paul Jeffrey can be contacted via phone (301) 990-6880.Contact Information
Primary practice address
11B First Field Rd
Gaithersburg MD 20878
Phone: (301) 990-6880
Fax: (301) 990-0257
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | D0062133 | Maryland |
Profile Details
| NPI number | 1962515643 |
|---|---|
| LBN Legal business name | Carlson, Paul Jeffrey |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 16th, 2006 |
| Last updated | Nov 11th, 2021 - about 5 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 | 1962515643 | NPPES |
| Maryland | MEDICAID | 406643000 | |
| Maryland | Other | A2840143 | |
| Maryland | Other | 7363711 | |
| Maryland | Other | 64401001 | |
| Maryland | Other | 784453000 | |
| Maryland | Other | 247377 |
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