Carlson, Robert Troy

Carlson, Robert Troy is an individual health care provider with primary practice located at 1375 W Green St Suite 1, Hastings MI 49058-1718. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Carlson, Robert Troy can be contacted via phone (269) 945-7497.

Contact Information

Primary practice address
1375 W Green St Suite 1 Hastings MI 49058-1718
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4301 066538 Michigan

Profile Details

NPI number 1396856910
LBN Legal business name Carlson, Robert Troy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Jan 7th, 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 1396856910 NPPES
Michigan MEDICAID 4151667

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