Provider Demographics
NPI:1568410645
Name:CARTER, CHRISTOPHER E (DC)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:E
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 1:720 N GARDNER ST
Mailing Address - Street 2:
Mailing Address - City:SCOTTSBURG
Mailing Address - State:IN
Mailing Address - Zip Code:47170-1412
Mailing Address - Country:US
Mailing Address - Phone:812-752-1800
Mailing Address - Fax:
Practice Address - Street 1:720 N GARDNER ST
Practice Address - Street 2:
Practice Address - City:SCOTTSBURG
Practice Address - State:IN
Practice Address - Zip Code:47170-1412
Practice Address - Country:US
Practice Address - Phone:812-752-1800
Practice Address - Fax:812-752-1900
Is Sole Proprietor?:No
Enumeration Date:2006-05-04
Last Update Date:2017-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08001742A111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN000000536687OtherANTHEM
IN200167420Medicaid
IN000000536687OtherANTHEM