Carlson, George

Carlson, George is an sole proprietor health care provider with primary practice located at 645 Laniolu Pl , Kihei HI 96753-9343. He recently has only one registered license in Allopathic & Osteopathic Physicians / Addiction Medicine, which is considered as his primary health care specialty. Carlson, George can be contacted via phone (808) 879-6121.

Contact Information

Primary practice address
645 Laniolu Pl Kihei HI 96753-9343
Fax: (808) 879-0500
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207LA0401X MD3884 Hawaii

Profile Details

NPI number 1598967119
LBN Legal business name Carlson, George
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 5th, 2007
Last updated Jul 12th, 2012 - about 13 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 1598967119 NPPES
Hawaii MEDICAID Y051675

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