Soderland, Carl A
Soderland, Carl A is an individual health care provider with primary practice located at 36 Essex St Lahey Clinic, Ipswich MA 01938-2599. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Soderland, Carl A can be contacted via phone (978) 356-5522.Contact Information
Primary practice address
36 Essex St Lahey Clinic
Ipswich MA 01938-2599
Phone: (978) 356-5522
Fax: (978) 356-0218
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 43796 | Massachusetts |
Profile Details
| NPI number | 1184725566 |
|---|---|
| LBN Legal business name | Soderland, Carl A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 26th, 2006 |
| Last updated | Feb 22nd, 2011 - about 14 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 | 1184725566 | NPPES |
| Massachusetts | MEDICAID | 110038138A |
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