Carlson, Ingrid
Carlson, Ingrid is an individual health care provider with primary practice located at 395 3Rd St , Atlantic Beach FL 32233-5231. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Gynecology. Allopathic & Osteopathic Physicians / Gynecology is her primary health care specialty. Carlson, Ingrid can be contacted via phone (904) 466-2841.Contact Information
Primary practice address
395 3Rd St
Atlantic Beach FL 32233-5231
Phone: (904) 466-2841
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 016275 | Maine |
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 47025 | Kentucky |
| Allopathic & Osteopathic Physicians / Gynecology | 207VG0400X | 62087 | Georgia |
| Allopathic & Osteopathic Physicians / Gynecology | 207VG0400X | 2019016072 | Missouri |
| Allopathic & Osteopathic Physicians / Gynecology | 207VG0400X | ME112115 | Florida |
Profile Details
| NPI number | 1841270824 |
|---|---|
| LBN Legal business name | Carlson, Ingrid |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 18th, 2006 |
| Last updated | Aug 15th, 2019 - about 7 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 | 1841270824 | NPPES |
| Maine | Other | ME014001 | MEDICARE TYPE UNSPECIFIED |
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