Carlson, John E

Carlson, John E is an individual health care provider with primary practice located at 4945 Williams Dr , Georgetown TX 78633-2008. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Carlson, John E can be contacted via phone (512) 819-0500.

Contact Information

Primary practice address
4945 Williams Dr Georgetown TX 78633-2008
Phone: (512) 819-0500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 22442 South Carolina
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X J4742 Texas

Profile Details

NPI number 1659352680
LBN Legal business name Carlson, John E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2005
Last updated Jan 18th, 2022 - about 2 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 1659352680 NPPES
South Carolina Other 510446195 BCBS OF SC
South Carolina MEDICAID 224420 BCBS OF SC
South Carolina Other 9199865 BCBS OF SC

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