Bruce L Carlson in Bismarck - Addiction (substance Use Disorder)
Bruce L Carlson - NPI 1508912288
Bruce L Carlson is a Addiction (substance Use Disorder) in Bismarck, North Dakota. Bruce L Carlson practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Bruce L Carlson is 1508912288. The last update date is 2007-07-08.
Bruce L Carlson's current location address is 101 E Broadway Ave, Bismarck, North Dakota. You can contact this provider via phone number 7012220386. The mailing address for Bruce L Carlson is 101 E Broadway Ave, Bismarck, North Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bruce L Carlson |
|---|---|
| Address | 101 E Broadway Ave, Bismarck, North Dakota |
| Phone Number | 7012220386 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LAC |
NPI Number Detail
| NPI Number | 1508912288 |
|---|---|
| Provider Enumeration Date | 2007-01-26 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 101 E Broadway Ave |
|---|---|
| City | Bismarck |
| State | North Dakota (ND) |
| Post Code | 58501 |
| Phone Number | 7012220386 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | 1279 |
|
Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 25264 | ND | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique provider identifier assigned to Bruce L Carlson?
The Bruce L Carlson has been issued the NPI (National Provider Identifier) 1508912288 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Bruce L Carlson's physical address?
The Bruce L Carlson is physically located at 101 E Broadway Ave, in the city of Bismarck, ND, with the postal code 58501.
What is the Bruce L Carlson's specialty and taxonomy code?
The Bruce L Carlson's specialty is Addiction (substance Use Disorder), and the corresponding taxonomy code is 101Ya0400X.
On what date did the Bruce L Carlson receive its 1508912288 assignment from the Centers for Medicare & Medicaid Services?
The Bruce L Carlson was assigned its 1508912288 by the Centers for Medicare & Medicaid Services on 2007-01-26.
As of what date were the details related to Bruce L Carlson most recently updated or revised?
The information pertaining to Bruce L Carlson, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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