Justice, Heather Carlson
Justice, Heather Carlson is an individual health care provider with primary practice located at 130 W Ravine Rd Kingsport, Kingsport TN 37660-3837. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Justice, Heather Carlson can be contacted via phone (423) 224-3150.Contact Information
Primary practice address
130 W Ravine Rd Kingsport
Kingsport TN 37660-3837
Phone: (423) 224-3150
Fax: (423) 224-3169
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA05331 | Texas |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 5601006938 | Michigan |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 2863 | Tennessee |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 0110005244 | Virginia |
Profile Details
| NPI number | 1811182710 |
|---|---|
| LBN Legal business name | Justice, Heather Carlson |
| Credentials | MSPAP, PA-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 13th, 2007 |
| Last updated | Jan 7th, 2016 - about 10 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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