Cartagena De Jesus, Carla Michelle

Cartagena De Jesus, Carla Michelle is an individual health care provider with primary practice located at 1001 Noble St Ste 1 , Fairbanks AK 99701-4991. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Cartagena De Jesus, Carla Michelle can be contacted via phone (907) 459-3500.

Contact Information

Primary practice address
1001 Noble St Ste 1 Fairbanks AK 99701-4991
Phone: (907) 459-3500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X R75496 Arizona
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 143269 Alaska

Profile Details

NPI number 1518312453
LBN Legal business name Cartagena De Jesus, Carla Michelle
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2016
Last updated Sep 24th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518312453 NPPES
Alaska MEDICAID 1698143

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