Carlisle, James Gerald

Carlisle, James Gerald is an individual health care provider with primary practice located at 1433 N 1075 W Ste 104 , Farmington UT 84025-2746. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Carlisle, James Gerald can be contacted via phone (801) 298-1300.

Contact Information

Primary practice address
1433 N 1075 W Ste 104 Farmington UT 84025-2746
Phone: (801) 298-1300
Fax: (801) 296-6199
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 5617957-1205 Utah
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 5617957-1205 Utah

Profile Details

NPI number 1750478707
LBN Legal business name Carlisle, James Gerald
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 9th, 2006
Last updated May 28th, 2021 - 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 1750478707 NPPES
Utah MEDICAID 1750478707
Utah Other 107031591105
Utah Other 56179571211001
Utah Other P00808365
Utah Other 847597
Utah Other P00808370
Utah Other 56179571210001

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