Individual
DR. JOHN STEPHEN CARBONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1105 EAST GRAND AVENUE (VETERANS ADMIN CLINIC), ROTHSCHILD, WI 54474
(608) 372-3971
(252) 744-2419
Mailing address
1105 EAST GRAND AVENUE (VETERANS ADMIN CLINIC), ROTHSCHILD, WI 54474
(608) 372-3971
Taxonomy
Speciality
Code
Description
License number
State
2084F0202X
Forensic Psychiatry Physician
200300952
NC
2084P0800X
Psychiatry Physician
Primary
200300952
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1578646378
—
NC
05
—
188206
—
TN
01
—
19ANW
BCBS OF NC
NC
05
—
7102267
—
VA
01
—
NCL784B
MEDICARE
NC
Enumeration date
10/23/2006
Last updated
01/17/2025
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