Provider Demographics
NPI:1790210649
Name:CAROLINA EXAM CONSULTANTS
Entity Type:Organization
Organization Name:CAROLINA EXAM CONSULTANTS
Other - Org Name:CAROLINA CLAIM CONSULTANTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:HANCOCK
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:513-519-7021
Mailing Address - Street 1:5743 RUTLEDGE TRL
Mailing Address - Street 2:
Mailing Address - City:LIBERTY TWP
Mailing Address - State:OH
Mailing Address - Zip Code:45011-1245
Mailing Address - Country:US
Mailing Address - Phone:513-519-7021
Mailing Address - Fax:513-299-0542
Practice Address - Street 1:5743 RUTLEDGE TRL
Practice Address - Street 2:
Practice Address - City:LIBERTY TWP
Practice Address - State:OH
Practice Address - Zip Code:45011-1245
Practice Address - Country:US
Practice Address - Phone:513-519-7021
Practice Address - Fax:513-299-0542
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-28
Last Update Date:2017-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2276460Medicaid
OHU56512Medicare UPIN