Provider Demographics
NPI:1669632113
Name:CARVER CHIROPRACTIC INC
Entity Type:Organization
Organization Name:CARVER CHIROPRACTIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:CARVER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:662-350-3308
Mailing Address - Street 1:2885 MCCULLOUGH BLVD
Mailing Address - Street 2:SUITE E
Mailing Address - City:BELDEN
Mailing Address - State:MS
Mailing Address - Zip Code:38826-9001
Mailing Address - Country:US
Mailing Address - Phone:662-350-3308
Mailing Address - Fax:662-350-3307
Practice Address - Street 1:2885 MCCULLOUGH BLVD
Practice Address - Street 2:SUITE E
Practice Address - City:BELDEN
Practice Address - State:MS
Practice Address - Zip Code:38826-9001
Practice Address - Country:US
Practice Address - Phone:662-350-3308
Practice Address - Fax:662-350-3307
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-09
Last Update Date:2017-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS1131111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS302G355610Medicare UPIN