National Provider Identifier Database

DOUGLAS W CARLSON, MD – NPI #1669490132
Pediatric Emergency Medicine

A pediatrician who has special qualifications to manage emergencies in infants and children.


Contact Information

DOUGLAS W CARLSON, MD
301 N 8TH ST
SUITE PAV4A
SPRINGFIELD, IL62701-1041
Phone: 217-545-8000
Fax: 217-545-2303
Website:
Specialty Taxonomy Code
* Pediatric Emergency Medicine 2080P0204X
Pediatrics 208000000X

* Indicates primary specialty

NPI Profile & details for DOUGLAS W CARLSON

NPI Number 1669490132
Credentials MD
Entity Individual
Enumeration date 07/17/2006
Last updated 09/27/2018 - About 8 years ago
Sole proprietor1 No
Identifiers
  • IL License #: 036-136399
  • MO Medicaid: 103810102
Hospital affiliation n/a

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.

Reviews for DOUGLAS W CARLSON, MD

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