Provider Demographics
NPI:1689827669
Name:DEMMIE, CARL (DC)
Entity Type:Individual
Prefix:DR
First Name:CARL
Middle Name:
Last Name:DEMMIE
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 1:357 MIDLAND AVE
Mailing Address - Street 2:
Mailing Address - City:GARFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07026-1654
Mailing Address - Country:US
Mailing Address - Phone:973-546-5440
Mailing Address - Fax:973-546-5459
Practice Address - Street 1:357 MIDLAND AVE
Practice Address - Street 2:
Practice Address - City:GARFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07026-1654
Practice Address - Country:US
Practice Address - Phone:973-546-5440
Practice Address - Fax:973-546-5459
Is Sole Proprietor?:No
Enumeration Date:2008-11-04
Last Update Date:2008-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00554800111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor