David James Carlson
Pulmonary Disease
101 Bodin Cir
Travis Afb
, California 94535-1809
David James Carlson
Pulmonary Disease
101 Bodin Cir
Travis Afb
, California 94535-1809
(707) 423-7496
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About
Features
Specialties
- Pulmonary Disease
Languages spoken
- English
Location
First Address
- David James Carlson
- 101 Bodin Cir
- Travis Afb, CA
- Zip : 94535-1809
- Fax : (707) 423-7496
- Phone : (707) 423-2300
Second Address
- David James Carlson
- 101 Bodin Cir
- Travis Afb, CA
- Zip : 94535-1809
- Fax : (707) 423-7496
- Phone : (707) 423-2300
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RP1001X | Pulmonary Disease | A447520 | CA |
National Provider Identifier
| NPI | 1043292238 |
|---|---|
| Provider Name | David James Carlson |
| First Address | Travis Afb, CA 94535-1809 |
| Second Address | Travis Afb, CA 94535-1809 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/11/2005 |
| Last Update Date | 29/10/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00A447520 | (05) | CA |
| E71668 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.