Provider Demographics
NPI:1013965953
Name:CARL & ASSOCIATES
Entity Type:Organization
Organization Name:CARL & ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESDENT
Authorized Official - Prefix:
Authorized Official - First Name:JERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:CARL
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:251-633-8090
Mailing Address - Street 1:7856 WESTSIDE PARK DR
Mailing Address - Street 2:SUITE C
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36695-8541
Mailing Address - Country:US
Mailing Address - Phone:251-633-8090
Mailing Address - Fax:251-633-6941
Practice Address - Street 1:7856 WESTSIDE PARK DR
Practice Address - Street 2:SUITE C
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36695-8541
Practice Address - Country:US
Practice Address - Phone:251-633-8090
Practice Address - Fax:251-633-6941
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-04
Last Update Date:2007-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336M0002XSuppliersPharmacyMail Order Pharmacy
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51518283OtherBLUE CROSS BLUE SHIELD
AL4762560002Medicare ID - Type UnspecifiedPROVIDER