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Contact Information

TIM CARLSEN, DPM
2620 TENDERFOOT HILL ST
SUITE 10
COLORADO SPRINGS, CO80906-3981
 Phone: 719-576-2080
 Fax: 719-576-2248
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Primary Podiatric Medicine

213EP1101X 48 Podiatry
Indicates primary specialty

NPI Profile & details for TIM CARLSEN · (Male)

NPI Number 1033199070
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 01/17/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • CO License # 642
  • CO Medicaid 12451576
  • CO Other 84146929104 PACIFICARE
  • CO Other 841469291005 RMHMO
  • CO Other P00147284 RRW 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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