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NPI Code Detail

MEDICARE: DR. ERIC K CARLSON DC

MEDICARE:  DR. ERIC K CARLSON  DC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractorDC25415CA

General Provider Information

NPI Number : 1841366598
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ERIC K CARLSON DC
Provider Business Mailing Address
First Line : 6480 WEATHERS PL
Second Line : SUITE 225
City : SAN DIEGO
State : CA
Zip : 92121-3910
Country : US
Telephone Number : 858-453-7040
Fax Number :
Provider Business Practice Location Address
First Line : 6480 WEATHERS PL
Second Line : SUITE 225
City : SAN DIEGO
State : CA
Zip : 92121-3910
Country : US
Telephone Number : 858-453-7040
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/27/2006
Last Update Date : 07/08/2007

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Directions to “ DR. ERIC K CARLSON DC” Practice Location

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