Provider Demographics
NPI:1225136963
Name:GARCIA, CARMEN ALICIA (DC)
Entity Type:Individual
Prefix:DR
First Name:CARMEN
Middle Name:ALICIA
Last Name:GARCIA
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:214 CLOVER DR
Mailing Address - Street 2:
Mailing Address - City:HOCKESSIN
Mailing Address - State:DE
Mailing Address - Zip Code:19707-1320
Mailing Address - Country:US
Mailing Address - Phone:302-234-2597
Mailing Address - Fax:
Practice Address - Street 1:7460 LANCASTER PIKE
Practice Address - Street 2:SUITE 8
Practice Address - City:HOCKESSIN
Practice Address - State:DE
Practice Address - Zip Code:19707-9294
Practice Address - Country:US
Practice Address - Phone:302-234-4045
Practice Address - Fax:302-234-4046
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2007-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEF1-0000360111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE0695571000OtherINDEPENDENCE BLUE CROSS
DE0695571000OtherKEYSTONE HEALTH PLAN EAST
DE0695571000OtherAMERIHEALTH
DE753326Medicare UPIN