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Contact Information

CARL D HARLAN JR, DO
14700 LAKE SHORE DR
CHARLEVOIX, MI49720
 Phone: 231-547-4024
 Fax: 734-677-7407
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for CARL D HARLAN JR · (Male)

NPI Number 1730147307
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 05/03/2006
Last updated 05/19/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 5101008593
  • MI Medicaid 3450062
  • MI Other 310A510270 BCBS
  • MI Other 3151500034 BCBS INDIVIDUAL ID
  • MI Other 0982318 HEALTHPOLUS
  • MI Other 300086775 MEDICARE RR PIN
  • MI Other 300086775 RR MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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