Provider Demographics
NPI:1023106820
Name:CAREY, PAUL F (DC)
Entity type:Individual
Prefix:MR
First Name:PAUL
Middle Name:F
Last Name:CAREY
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 1:147 COLUMBUS RD
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:OH
Mailing Address - Zip Code:45701-1315
Mailing Address - Country:US
Mailing Address - Phone:740-593-5511
Mailing Address - Fax:740-593-8221
Practice Address - Street 1:147 COLUMBUS RD
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:OH
Practice Address - Zip Code:45701-1315
Practice Address - Country:US
Practice Address - Phone:740-593-5511
Practice Address - Fax:740-593-8221
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-10
Last Update Date:2012-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2812111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2278619Medicaid
OH4054251Medicare ID - Type Unspecified
OHU85650Medicare UPIN