Carlson, Jonathan David

Carlson, Jonathan David is an individual health care provider with primary practice located at 40 Aulike St Ste 411 , Kailua HI 96734-2757. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is his primary health care specialty. Carlson, Jonathan David can be contacted via phone (808) 452-1379.

Contact Information

Primary practice address
40 Aulike St Ste 411 Kailua HI 96734-2757
Phone: (808) 452-1379
Fax: (808) 201-4961
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X A95611 California
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 41788 Arizona
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 41788 Arizona

Profile Details

NPI number 1538206644
LBN Legal business name Carlson, Jonathan David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2007
Last updated Dec 8th, 2020 - 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 1538206644 NPPES
Arizona Other 41788 AZ LIC

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