Carlson, John Clifford
Carlson, John Clifford is an individual health care provider with primary practice located at 1430 Tulane Ave # Sl-37 , New Orleans LA 70112-2632. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Allergy & Immunology. Allopathic & Osteopathic Physicians / Allergy & Immunology is his primary health care specialty. Carlson, John Clifford can be contacted via phone (504) 988-5456.Contact Information
Primary practice address
1430 Tulane Ave # Sl-37
New Orleans LA 70112-2632
Phone: (504) 988-5456
Fax: (504) 988-1771
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD.200766 | Louisiana |
| Allopathic & Osteopathic Physicians / Allergy & Immunology | 207K00000X | MD.200766 | Louisiana |
Profile Details
| NPI number | 1700058310 |
|---|---|
| LBN Legal business name | Carlson, John Clifford |
| Credentials | MD, PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 24th, 2008 |
| Last updated | Mar 8th, 2018 - about 8 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 | 1700058310 | NPPES |
| Mississippi | MEDICAID | 01870255 | |
| Mississippi | MEDICAID | 1069612 |
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