Individual
ELAINE CARLSON
Active
Individual
ELAINE CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
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
Update your record
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