Vanselow, Carl Robert

Vanselow, Carl Robert is an individual health care provider with primary practice located at 3805 E Bell Rd Suite 3100, Phoenix AZ 85032-2105. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Vanselow, Carl Robert can be contacted via phone (602) 867-8644.

Contact Information

Primary practice address
3805 E Bell Rd Suite 3100 Phoenix AZ 85032-2105
Phone: (602) 867-8644
Fax: (602) 795-5698
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 2309 Arizona

Profile Details

NPI number 1730186198
LBN Legal business name Vanselow, Carl Robert
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2005
Last updated Jun 29th, 2022 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730186198 NPPES
Arizona Other 970013946 RAILROAD MEDICARE
Arizona MEDICAID 495920 RAILROAD MEDICARE
Arizona Other 1Z5306 RAILROAD MEDICARE

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