Dr. Chad Thomas Carlson
Sports Medicine Doctor
6000 University Ave Suite 250
West Des Moines
, Iowa 50266-8203
Dr. Chad Thomas Carlson
Sports Medicine Doctor
6000 University Ave Suite 250
West Des Moines
, Iowa 50266-8203
(515) 221-1272
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About
Features
Specialties
- Sports Medicine Doctor
Languages spoken
- English
Location
First Address
- Dr. Chad Thomas Carlson
- 6000 University Ave Suite 250
- West Des Moines, IA
- Zip : 50266-8203
- Fax : (515) 221-1272
- Phone : (515) 221-1102
Second Address
- Dr. Chad Thomas Carlson
- 6000 University Ave Suite 250
- West Des Moines, IA
- Zip : 50266-8203
- Fax : (515) 221-1272
- Phone : (515) 221-1102
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 204C00000X | Sports Medicine Doctor | 36501 | IA |
National Provider Identifier
| NPI | 1326008368 |
|---|---|
| Provider Name | Dr. Chad Thomas Carlson |
| First Address | West Des Moines, IA 50266-8203 |
| Second Address | West Des Moines, IA 50266-8203 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/03/2006 |
| Last Update Date | 11/06/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| G62945 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.