Carlson, Joanne L
Carlson, Joanne L is an individual health care provider with primary practice located at 655 W 8Th St Ufjp Pediatric Dept., Jacksonville FL 32209-6511. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Carlson, Joanne L can be contacted via phone (904) 244-3050.Contact Information
Primary practice address
655 W 8Th St Ufjp Pediatric Dept.
Jacksonville FL 32209-6511
Phone: (904) 244-3050
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 224192 | Massachusetts |
Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | ME97112 | Florida |
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ME97112 | Florida |
Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | ME98112 | Florida |
Profile Details
NPI number | 1073577938 |
---|---|
LBN Legal business name | Carlson, Joanne L |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 17th, 2006 |
Last updated | Jan 10th, 2017 - about 8 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1073577938 | NPPES |
Florida | MEDICAID | 2778378-00 | |
Florida | MEDICAID | 277837800 | |
Florida | MEDICAID | 679675487B | |
Florida | MEDICAID | 679675487C | |
Florida | Other | 93557 |
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