Carlson, Robert A
Carlson, Robert A is an individual health care provider with primary practice located at 301A Us Route 1 , Scarborough ME 04074-9701. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Pathology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Carlson, Robert A can be contacted via phone (156) 560-2560.Contact Information
Primary practice address
301A Us Route 1
Scarborough ME 04074-9701
Phone: (156) 560-2560
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Clinical Pathology | 207ZC0006X | 01104300 | Michigan |
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | MD23532 | Maine |
Profile Details
| NPI number | 1972690907 |
|---|---|
| LBN Legal business name | Carlson, Robert A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 10th, 2006 |
| Last updated | Aug 5th, 2020 - about 6 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 | 1972690907 | NPPES |
| New York | Other | 282992 | NEW YORK MEDICAL LICENSE |
| New York | MEDICAID | 30814900 | NEW YORK MEDICAL LICENSE |
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