Provider Demographics
NPI:1659562106
Name:CARBARY, WILLIAM GARFIELD (DC)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:GARFIELD
Last Name:CARBARY
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:PO BOX 250206
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72225-0206
Mailing Address - Country:US
Mailing Address - Phone:501-663-2600
Mailing Address - Fax:501-907-5241
Practice Address - Street 1:615 BEECHWOOD ST
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-3846
Practice Address - Country:US
Practice Address - Phone:501-663-2600
Practice Address - Fax:501-907-5241
Is Sole Proprietor?:No
Enumeration Date:2007-08-08
Last Update Date:2007-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR1111111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
59300Medicare PIN
ART20625Medicare UPIN