Provider Demographics
NPI:1851486971
Name:OUSLEY, CARRIE ANN (DC)
Entity Type:Individual
Prefix:DR
First Name:CARRIE
Middle Name:ANN
Last Name:OUSLEY
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 1:3221 FRUITVALE AVE
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94602-2114
Mailing Address - Country:US
Mailing Address - Phone:510-534-7484
Mailing Address - Fax:510-431-7090
Practice Address - Street 1:3221 FRUITVALE AVE
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94602-2114
Practice Address - Country:US
Practice Address - Phone:510-534-7484
Practice Address - Fax:510-431-7090
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-04
Last Update Date:2022-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA28014111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC0280140Medicare ID - Type Unspecified
CAU95378Medicare UPIN