Provider Demographics
NPI:1891869418
Name:CARVER, DENNIS L (DC)
Entity Type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:L
Last Name:CARVER
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 1:216 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:GOLDENDALE
Mailing Address - State:WA
Mailing Address - Zip Code:98620-9587
Mailing Address - Country:US
Mailing Address - Phone:509-773-5633
Mailing Address - Fax:509-773-5844
Practice Address - Street 1:216 W MAIN ST
Practice Address - Street 2:
Practice Address - City:GOLDENDALE
Practice Address - State:WA
Practice Address - Zip Code:98620-9587
Practice Address - Country:US
Practice Address - Phone:509-773-5633
Practice Address - Fax:509-773-5844
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00874111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor