Provider Demographics
NPI:1922087170
Name:DR. WILLIAM G. CARBARY, D.C., PA
Entity Type:Organization
Organization Name:DR. WILLIAM G. CARBARY, D.C., PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:GARFIELD
Authorized Official - Last Name:CARBARY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:501-663-2600
Mailing Address - Street 1:PO BOX 250206
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72225-0206
Mailing Address - Country:US
Mailing Address - Phone:501-663-2600
Mailing Address - Fax:
Practice Address - Street 1:615 BEECHWOOD ST
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-3846
Practice Address - Country:US
Practice Address - Phone:501-663-2600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-14
Last Update Date:2007-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR1111111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ART20625Medicare UPIN
AR350054043Medicare ID - Type UnspecifiedRAILROAD MEDICARE