Carlson, Timothy A

Carlson, Timothy A is an individual health care provider with primary practice located at 2234 Perkiomen Ave , Reading PA 19606-1830. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Carlson, Timothy A can be contacted via phone (610) 370-2511.

Contact Information

Primary practice address
2234 Perkiomen Ave Reading PA 19606-1830
Phone: (610) 370-2511
Fax: (610) 370-9348
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X SP005613B Pennsylvania

Profile Details

NPI number 1003818758
LBN Legal business name Carlson, Timothy A
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2005
Last updated Apr 29th, 2014 - about 12 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 1003818758 NPPES
Pennsylvania MEDICAID 007706668

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