IndividualActive
Alec Carlson, IDC
NPI 1265968424 · Independent Duty Corpsman · Jbphh, HI
Provider details
- NPI number
- 1265968424
- Entity type
- Individual
- Primary specialty
- Independent Duty CorpsmanOther Service Providers
- Credential
- IDC
- Sex
- Male
- Sole proprietor
- No
- License
- CARLAJ138NJ (WA)
Specialties & taxonomies
Other Service Providers
Practice location
455 Hornet Ave Ste 101
Jbphh, HI 96860-3530
Phone: (619) 537-4355
Approximate (ZIP-level) locationGet directions
Mailing address
Uss Typhoon PC 5
Fpo, AE 09588
Registry dates
- Enumerated
- 2017-05-10
- Last updated
- 2021-08-31
- Certified
- 2021-08-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.