Search › Indiana › 3747A0650X
Willie Carson
NPI 1174311674 · on the registry since 2025 · sole proprietor
Practice
- Address
- 2730 Lois St # 1
Portage, IN 46368 - Phone
- (219) 654-3019
- Fax
- (219) 406-0162
Registry record
- Primary taxonomy
- 3747A0650X
3747A0650X
- Also registered as
- 3747P1801X
- Sex
- Male
- Record last updated
- 2025-04-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana