Provider Demographics
NPI:1841203577
Name:STARNES, CARL P (DC)
Entity Type:Individual
Prefix:DR
First Name:CARL
Middle Name:P
Last Name:STARNES
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:PO BOX 1835
Mailing Address - Street 2:
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28603-1835
Mailing Address - Country:US
Mailing Address - Phone:828-328-2555
Mailing Address - Fax:828-328-2556
Practice Address - Street 1:636 8TH ST NE
Practice Address - Street 2:
Practice Address - City:HICKORY
Practice Address - State:NC
Practice Address - Zip Code:28601-5120
Practice Address - Country:US
Practice Address - Phone:828-328-2555
Practice Address - Fax:828-328-2556
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCNC-1058111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC898806Medicaid
NC08806OtherBLUE CROSS BLUE SHIELD
NCT64364Medicare UPIN
NC898806Medicaid