Carlson, Jennifer Lynn

Carlson, Jennifer Lynn is an individual health care provider with primary practice located at 725 Welch Rd , Palo Alto CA 94304-1601. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Clinical Informatics, Allopathic & Osteopathic Physicians / Adolescent Medicine. Allopathic & Osteopathic Physicians / Adolescent Medicine is her primary health care specialty. Carlson, Jennifer Lynn can be contacted via phone (650) 497-8000.

Contact Information

Primary practice address
725 Welch Rd Palo Alto CA 94304-1601
Phone: (650) 497-8000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A82698 California
Allopathic & Osteopathic Physicians / Clinical Informatics 2083C0008X A82698 California
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X A82698 California

Profile Details

NPI number 1134157431
LBN Legal business name Carlson, Jennifer Lynn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2006
Last updated Apr 10th, 2024 - 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 1134157431 NPPES
California MEDICAID 00A826980

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