National Provider Identifier
Wayne Robert Carlsson, D.C.
Wayne Robert Carlsson, D.C. is listed in the NPPES registry with a primary specialty of Chiropractor in Lakewood, NY and a listed phone number of (716) 763-0949.
Profile Overview
- NPI
- 1720054141
- Provider Type
- Individual
- Primary Specialty
- Chiropractor
- Enumeration Date
- February 25, 2006
- Last Updated
- July 08, 2007
Practice Location
- 60 W Fairmount Ave
- Lakewood, NY 14750-1723
Phone: (716) 763-0949
Specialties
- Chiropractor (111N00000X)
Full Record
- NPI
- 1720054141
- Entity Type
- Individual
- Last Name
- Carlsson
- First Name
- Wayne
- Middle Name
- Robert
- Name Prefix
- Dr.
- Credential
- D.C.
- Mailing Street Address
- 60 W Fairmount Ave
- Mailing City
- Lakewood
- Mailing State
- NY
- Mailing ZIP Code
- 14750-1723
- Mailing Country
- US
- Mailing Phone
- (716) 763-0949
- Mailing Fax
- (716) 763-0952
- Practice Street Address
- 60 W Fairmount Ave
- Practice City
- Lakewood
- Practice State
- NY
- Practice ZIP Code
- 14750-1723
- Practice Country
- US
- Practice Phone
- (716) 763-0949
- Practice Fax
- (716) 763-0952
- Enumeration Date
- February 25, 2006
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Chiropractor (111N00000X)
- Other Identifiers
- C10927-4B (NY, Worker'S Compensation), 000270363-01 (NY, Univera), 000293039003 (NY, Bluecross Blueshield), 8812768 (NY, Independent Health)