Carlson, Ingrid

Carlson, Ingrid is an individual health care provider with primary practice located at 395 3Rd St , Atlantic Beach FL 32233-5231. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Gynecology. Allopathic & Osteopathic Physicians / Gynecology is her primary health care specialty. Carlson, Ingrid can be contacted via phone (904) 466-2841.

Contact Information

Primary practice address
395 3Rd St Atlantic Beach FL 32233-5231
Phone: (904) 466-2841
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 016275 Maine
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 47025 Kentucky
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X 62087 Georgia
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X 2019016072 Missouri
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X ME112115 Florida

Profile Details

NPI number 1841270824
LBN Legal business name Carlson, Ingrid
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2006
Last updated Aug 15th, 2019 - about 5 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 1841270824 NPPES
Maine Other ME014001 MEDICARE TYPE UNSPECIFIED

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