Active NPIIndividual provider

Mr. Alec J Carlson, IDC

Military Health Care Provider, Independent Duty Corpsman in Jbphh, Hawaii

NPI Number1265968424
Practice location
455 Hornet Ave Ste 101, Jbphh, HI 96860-3530
Fax
—
Last updated
August 31, 2021

Alec James Carlson is a Military Health Care Provider, Independent Duty Corpsman based in Jbphh, HI. Alec James Carlson practices in Jbphh, HI and has the professional credentials of IDC. The NPI Number for Alec James Carlson is 1265968424 and holds a License No. CARLAJ138NJ (WA). The current practice location address for Alec James Carlson is 455 Hornet Ave Ste 101, Jbphh, HI 96860-3530 and can be reached out via phone at 619-537-4355.

Provider Profile Details

NPI Number
1265968424
Provider Name
Alec James Carlson
Credential
IDC
Provider Entity Type
Individual
Gender
Male
Address
455 Hornet Ave Ste 101, Jbphh, HI 96860-3530
Phone Number
619-537-4355
Sole Proprietor
No
Provider Enumeration Date
May 10, 2017
Last Update Date
August 31, 2021
Certification Date
August 31, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
455 Hornet Ave Ste 101
Jbphh, HI 96860-3530
City
Jbphh
State
Hawaii
Zip
96860-3530
Phone Number
619-537-4355
Jbphh, HI 96860Get directions →

Provider Business Mailing Address Details

Address
Uss Typhoon PC 5
Unit 100286 Box 1
Fpo, AE 09588
City
Fpo
State
AE
Zip
09588

License Information

License Number
CARLAJ138NJ
License State
WA

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Alec J Carlson, IDC?

The NPI number of Mr. Alec J Carlson, IDC is 1265968424. It was assigned on May 10, 2017 and is currently active in the NPPES registry.

What is the specialty of Mr. Alec J Carlson, IDC?

Mr. Alec J Carlson, IDC is registered under the primary taxonomy Military Health Care Provider, Independent Duty Corpsman (code 1710I1002X), licensed in WA under license number CARLAJ138NJ.

Where does Mr. Alec J Carlson, IDC practice?

The practice location is 455 Hornet Ave Ste 101, Jbphh, HI 96860-3530. The office can be reached at 619-537-4355 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1265968424 directly on the NPPES registry website.

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