Provider Demographics
NPI:1851336572
Name:WILPOLT, CARRIE (MAOM)
Entity Type:Individual
Prefix:MS
First Name:CARRIE
Middle Name:
Last Name:WILPOLT
Suffix:
Gender:F
Credentials:MAOM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:43 OAK HILL ST
Mailing Address - Street 2:
Mailing Address - City:PEPPERELL
Mailing Address - State:MA
Mailing Address - Zip Code:01463-1173
Mailing Address - Country:US
Mailing Address - Phone:978-835-8327
Mailing Address - Fax:
Practice Address - Street 1:43 OAK HILL ST
Practice Address - Street 2:
Practice Address - City:PEPPERELL
Practice Address - State:MA
Practice Address - Zip Code:01463-1173
Practice Address - Country:US
Practice Address - Phone:978-835-8327
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist