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Contact Information

JEFFREY J CARLS, MD
1720 MESQUITE AVE
SUITE 100
LAKE HAVASU CITY, AZ86403
 Phone: 928-855-1550
 Fax: 928-855-7229
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for JEFFREY J CARLS · (Male)

NPI # 1871511295
Status Active
Credentials MD
Entity Individual
Enumeration date 07/17/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • AZ License # 12100
  • AZ Medicaid 224593
  • AZ Other 0856320 BCBS
Hospital affiliation(s)
  • HAVASU REGIONAL MEDICAL CENTER - (Acute Care)
    101 CIVIC CENTER LANE
    LAKE HAVASU CITY, AZ 86403
  • LA PAZ REGIONAL HOSPITAL - (Critical Access)
    1200 WEST MOHAVE ROAD
    PARKER, AZ 85344
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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