Carson, John G

Carson, John G is an individual health care provider with primary practice located at 92 Campus Dr Ste D , Scarborough ME 04074-7229. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Carson, John G can be contacted via phone (207) 662-8900.

Contact Information

Primary practice address
92 Campus Dr Ste D Scarborough ME 04074-7229
Phone: (207) 662-8900
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 36117446 Illinois
Allopathic & Osteopathic Physicians / Surgery 208600000X A85584 California
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X A85584 California
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 36117446 Illinois
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X MD21625 Maine

Profile Details

NPI number 1871507228
LBN Legal business name Carson, John G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2006
Last updated Apr 17th, 2023 - about last year

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 1871507228 NPPES
Maine MEDICAID 1871507228

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