Carleton, Jack

Carleton, Jack is an individual health care provider with primary practice located at 600 Stony Brook Ct , Newburgh NY 12550-6524. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Carleton, Jack can be contacted via phone (845) 391-8557.

Contact Information

Primary practice address
600 Stony Brook Ct Newburgh NY 12550-6524
Phone: (845) 391-8557
Fax: (845) 608-8270
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 128487 New York

Profile Details

NPI number 1811980873
LBN Legal business name Carleton, Jack
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2005
Last updated Feb 21st, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811980873 NPPES
New York MEDICAID 00874864

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