Carlson, Stephen Douglas
Carlson, Stephen Douglas is an individual health care provider with primary practice located at 515 Main St , Olean NY 14760-1513. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Carlson, Stephen Douglas can be contacted via phone (716) 372-0223.Contact Information
Primary practice address
515 Main St
Olean NY 14760-1513
Phone: (716) 372-0223
Fax: (716) 373-7191
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 186882-1 | New York |
Profile Details
| NPI number | 1023009883 |
|---|---|
| LBN Legal business name | Carlson, Stephen Douglas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 2nd, 2005 |
| Last updated | Mar 23rd, 2021 - about 4 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 | 1023009883 | NPPES |
| New York | MEDICAID | 01821109 |
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