Provider Demographics
NPI:1538133202
Name:CARROLL, APRIL L (DC)
Entity Type:Individual
Prefix:DR
First Name:APRIL
Middle Name:L
Last Name:CARROLL
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:PO BOX 544
Mailing Address - Street 2:
Mailing Address - City:BIRCH RUN
Mailing Address - State:MI
Mailing Address - Zip Code:48415-0544
Mailing Address - Country:US
Mailing Address - Phone:989-624-9293
Mailing Address - Fax:989-624-9294
Practice Address - Street 1:11945 CONQUEST STREET
Practice Address - Street 2:
Practice Address - City:BIRCH RUN
Practice Address - State:MI
Practice Address - Zip Code:48415
Practice Address - Country:US
Practice Address - Phone:989-624-9293
Practice Address - Fax:989-624-9294
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-17
Last Update Date:2008-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301009035111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI950G311860OtherBCBSM
MI9385758OtherPHCS
MI9385758OtherPHCS
MI0P33980Medicare ID - Type Unspecified
MI950G311860OtherBCBSM