Provider Demographics
NPI:1225149263
Name:CAREY, JARED EARL (DC)
Entity Type:Individual
Prefix:
First Name:JARED
Middle Name:EARL
Last Name:CAREY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1517 BLAKE AVE
Mailing Address - Street 2:SUITE 203
Mailing Address - City:GLENWOOD SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:81601-3643
Mailing Address - Country:US
Mailing Address - Phone:970-384-4450
Mailing Address - Fax:970-947-9916
Practice Address - Street 1:1517 BLAKE AVE
Practice Address - Street 2:SUITE 203
Practice Address - City:GLENWOOD SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:81601-3643
Practice Address - Country:US
Practice Address - Phone:970-384-4450
Practice Address - Fax:970-947-9916
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2008-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDC9503111N00000X
CO6134111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXU96804Medicare UPIN
TX8B1475Medicare PIN