Carlon, Douglas John
Carlon, Douglas John is an individual health care provider with primary practice located at 1895 N Jasper Dr Ste 1 , Flagstaff AZ 86001-1632. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Carlon, Douglas John can be contacted via phone (928) 773-2332.Contact Information
Primary practice address
1895 N Jasper Dr Ste 1
Flagstaff AZ 86001-1632
Phone: (928) 773-2332
Fax: (623) 524-8959
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 29314 | Arizona |
Profile Details
| NPI number | 1396704680 |
|---|---|
| LBN Legal business name | Carlon, Douglas John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 23rd, 2006 |
| Last updated | Dec 18th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396704680 | NPPES |
| Arizona | MEDICAID | 694704 |
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