Carlson, Jennifer Lynn
Carlson, Jennifer Lynn is an individual health care provider with primary practice located at 725 Welch Rd , Palo Alto CA 94304-1601. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Clinical Informatics, Allopathic & Osteopathic Physicians / Adolescent Medicine. Allopathic & Osteopathic Physicians / Adolescent Medicine is her primary health care specialty. Carlson, Jennifer Lynn can be contacted via phone (650) 497-8000.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | A82698 | California |
Allopathic & Osteopathic Physicians / Clinical Informatics | 2083C0008X | A82698 | California |
Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | A82698 | California |
Profile Details
NPI number | 1134157431 |
---|---|
LBN Legal business name | Carlson, Jennifer Lynn |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 28th, 2006 |
Last updated | Apr 10th, 2024 - about 5 months 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1134157431 | NPPES |
California | MEDICAID | 00A826980 |
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