Carlson Orthopedic Clinic Sc in Rockford - Specialist
Carlson Orthopedic Clinic Sc - NPI 1245342666
Carlson Orthopedic Clinic Sc is a Specialist in Rockford, Illinois. Carlson Orthopedic Clinic Sc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Carlson Orthopedic Clinic Sc is 1245342666. The last update date is 2010-09-08.
Carlson Orthopedic Clinic Sc's current location address is 1848 Daimler Rd, Rockford, Illinois. You can contact this provider via phone number 8153989100 and fax number 8159866770. The mailing address for Carlson Orthopedic Clinic Sc is 1848 Daimler Rd, Rockford, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Carlson Orthopedic Clinic Sc |
|---|---|
| Address | 1848 Daimler Rd, Rockford, Illinois |
| Phone Number | 8153989100 |
| Fax Number | 8159866770 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MD |
|---|---|
| Authorized Official Name | Carlson E Mark |
| Credentials | MD |
| Telephone Number | 8153989100 |
NPI Number Detail
| NPI Number | 1245342666 |
|---|---|
| Provider Enumeration Date | 2006-08-31 |
| Last Updated Date | 2010-09-08 |
Provider Mailing Address Detail
| Address | 1848 Daimler Rd |
|---|---|
| City | Rockford |
| State | Illinois (IL) |
| Post Code | 611121019 |
| Phone Number | 8153989100 |
| Fax Number | 8159866770 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 36073115 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 216892 | IL | MEDICARE PTAN |
Post Comment/ Review Below
What is the unique identifier code issued to Carlson Orthopedic Clinic Sc by the Centers for Medicare & Medicaid Services (CMS)?
The Carlson Orthopedic Clinic Sc has been assigned the NPI (National Provider Identifier) 1245342666. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Carlson Orthopedic Clinic Sc?
The Carlson Orthopedic Clinic Sc is situated at 1848 Daimler Rd, in the city of Rockford, state of IL, with the zip code 611121019.
What is Carlson Orthopedic Clinic Sc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Carlson Orthopedic Clinic Sc is Specialist, and the taxonomy code that categorizes this field of expertise is 174400000X.
When did Carlson Orthopedic Clinic Sc receive its 1245342666 assignment?
The Carlson Orthopedic Clinic Sc was assigned its 1245342666 on 2006-08-31, which is the date when this unique identifier was issued to the organization.
When was the Carlson Orthopedic Clinic Sc's information last updated?
The Carlson Orthopedic Clinic Sc's information was last updated on 2010-09-08.