Provider Demographics
NPI:1437163458
Name:CARTER, JAY LEVIS (DC)
Entity Type:Individual
Prefix:
First Name:JAY
Middle Name:LEVIS
Last Name:CARTER
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 1:610 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:KS
Mailing Address - Zip Code:66043-1308
Mailing Address - Country:US
Mailing Address - Phone:913-727-2727
Mailing Address - Fax:913-727-5420
Practice Address - Street 1:610 N MAIN ST
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:KS
Practice Address - Zip Code:66043-1308
Practice Address - Country:US
Practice Address - Phone:913-727-2727
Practice Address - Fax:913-727-5420
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSC3854111NX0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NX0100XChiropractic ProvidersChiropractorOccupational Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS023515Medicare ID - Type UnspecifiedPROVIDER ID