CLARENCE R. CARLSON, JR. D.O. – NPI #1124007521
Emergency Medicine

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

CLARENCE CARLSON, JR. is a physician located in ALBERT LEA, MN. NPPES has assigned the NPI number 1124007521 to CLARENCE CARLSON, JR. on January 13, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207P00000X from the Health Care Provider Taxonomy code set, which is classified as Emergency Medicine.

The NPI profile was previously updated about 14 years ago on Apr 11, 2012. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CLARENCE CARLSON, JR. below.

NPI Profile for
CLARENCE R. CARLSON, JR.

NPI Number
1124007521
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
CLARENCE R. CARLSON, JR.
Credentials
D.O.
Primary location
404 W FOUNTAIN ST
ALBERT LEA, MN 56007-2437
Phone: (507) 373-2384 Fax:
Mailing address
375 OAK ST
APT. 7
EMMONS, MN 56029-1031
Phone: Fax:
Sole Proprietor
No
Updated
Identifiers

Identifiers for CLARENCE CARLSON, JR.

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDMN458507100
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207P00000X
- Emergency Medicine (Primary)
MN 34377

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.