Provider Demographics
NPI:1801824172
Name:GOOD, CAROLYN B (DC)
Entity Type:Individual
Prefix:DR
First Name:CAROLYN
Middle Name:B
Last Name:GOOD
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 1:15316 E QUICK DRAW PL
Mailing Address - Street 2:
Mailing Address - City:FOUNTAIN HILLS
Mailing Address - State:AZ
Mailing Address - Zip Code:85268-1405
Mailing Address - Country:US
Mailing Address - Phone:908-581-7595
Mailing Address - Fax:
Practice Address - Street 1:15316 E QUICK DRAW PL
Practice Address - Street 2:
Practice Address - City:FOUNTAIN HILLS
Practice Address - State:AZ
Practice Address - Zip Code:85268-1405
Practice Address - Country:US
Practice Address - Phone:908-581-7595
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-28
Last Update Date:2020-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00295200111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ080949Medicare ID - Type Unspecified