Individual
ELAINE CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
72 MAIN ST, KENNEBUNK, ME 04043-7021
(207) 467-8909
(207) 467-8910
Mailing address
9 HEALTHCARE DR, SUITE 201, BIDDEFORD, ME 04005-9449
(207) 282-9080
(207) 282-9180
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
015356
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
038778
ANTHEM
ME
01
—
2337286
AETNA
ME
05
—
288040099
—
ME
01
—
C90481
HARVARD PILGRIM
ME
01
—
M183518
CIGNA
ME
Enumeration date
04/08/2006
Last updated
01/17/2011
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