Provider Demographics
NPI:1235433665
Name:FOERTER, CARRIE AMBER (DC)
Entity Type:Individual
Prefix:DR
First Name:CARRIE
Middle Name:AMBER
Last Name:FOERTER
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 1:3599 OLD WASHINGTON RD
Mailing Address - Street 2:
Mailing Address - City:WALDORF
Mailing Address - State:MD
Mailing Address - Zip Code:20602-3209
Mailing Address - Country:US
Mailing Address - Phone:410-349-2727
Mailing Address - Fax:410-349-4605
Practice Address - Street 1:530 COLLEGE PKWY
Practice Address - Street 2:F
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21409-4614
Practice Address - Country:US
Practice Address - Phone:410-349-2727
Practice Address - Fax:410-349-4605
Is Sole Proprietor?:No
Enumeration Date:2010-12-28
Last Update Date:2010-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD03644111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor