Carlstrom, Douglas Paul
Carlstrom, Douglas Paul is an individual health care provider with primary practice located at 2160 W 11Th Ave Suite A, Eugene OR 97402-3564. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Carlstrom, Douglas Paul can be contacted via phone (541) 484-2004.Contact Information
Primary practice address
2160 W 11Th Ave Suite A
Eugene OR 97402-3564
Phone: (541) 484-2004
Fax: (541) 484-0800
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 27-1732 | Oregon |
| Chiropractic Providers / Chiropractor | 111N00000X | 1732 | Oregon |
Profile Details
| NPI number | 1750310157 |
|---|---|
| LBN Legal business name | Carlstrom, Douglas Paul |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 30th, 2006 |
| Last updated | Feb 7th, 2013 - about 13 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 | 1750310157 | NPPES |
| Oregon | MEDICAID | 152009 |
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