Wisner-Carlson, Robert William
Wisner-Carlson, Robert William is an individual health care provider with primary practice located at 6501 N Charles St , Baltimore MD 21285-6815. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Wisner-Carlson, Robert William can be contacted via phone (410) 938-4750.Contact Information
Primary practice address
6501 N Charles St
Baltimore MD 21285-6815
Phone: (410) 938-4750
Fax: (410) 938-5310
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | D0036339 | Maryland |
Profile Details
| NPI number | 1235126665 |
|---|---|
| LBN Legal business name | Wisner-Carlson, Robert William |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 30th, 2005 |
| Last updated | Dec 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235126665 | NPPES |
| Maryland | MEDICAID | 312201800 |
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