National Provider Identifier Database

JOHN D CARLSON MD
Specialist

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.


Contact Information

JOHN D. CARLSON MD
492 NORTH WILSON STREET
CRESTVIEW, FL32536
Phone: 850-682-5332
Fax: 850-683-5333
Website:
Specialty Taxonomy Code
* Specialist 174400000X

* Indicates primary specialty

NPI Profile & details for JOHN D. CARLSON MD

NPI Number 1679846166
Legal business name
LBN
JOHN D. CARLSON MD
Authorized official JOHN CARLSON - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 02/15/2012
Last updated 02/15/2012 - About 14 years ago
Sole proprietor1 Not specified
Identifiers
  • FL License #: ME0051484

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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