Provider Demographics
NPI:1831293521
Name:EYMAN, CARL R (DC)
Entity Type:Individual
Prefix:DR
First Name:CARL
Middle Name:R
Last Name:EYMAN
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 1:1641 VENTURE DR
Mailing Address - Street 2:SUITE C
Mailing Address - City:MOUNT VERNON
Mailing Address - State:OH
Mailing Address - Zip Code:43050-7001
Mailing Address - Country:US
Mailing Address - Phone:740-397-1212
Mailing Address - Fax:740-397-4301
Practice Address - Street 1:1641 VENTURE DR
Practice Address - Street 2:SUITE C
Practice Address - City:MOUNT VERNON
Practice Address - State:OH
Practice Address - Zip Code:43050-7001
Practice Address - Country:US
Practice Address - Phone:740-397-1212
Practice Address - Fax:740-397-4301
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH881111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0609498Medicaid
OH0609498Medicaid
OHT47344Medicare UPIN