Provider Demographics
NPI:1710953625
Name:CARMIEN, CAROL J (DC)
Entity Type:Individual
Prefix:DR
First Name:CAROL
Middle Name:J
Last Name:CARMIEN
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 1:3294 S NEWCOMBE ST UNIT 205
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80227-6716
Mailing Address - Country:US
Mailing Address - Phone:585-746-3439
Mailing Address - Fax:
Practice Address - Street 1:3294 S NEWCOMBE ST UNIT 205
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80227-6716
Practice Address - Country:US
Practice Address - Phone:585-746-3439
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-02-28
Last Update Date:2019-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYXOO5226-1111N00000X
CO0007746111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYAA0584Medicare PIN
NYCC1718Medicare PIN
NYT83154Medicare UPIN