Provider Demographics
NPI:1134631005
Name:CARTER, RUEBEN LAWRENCE JR (DC)
Entity type:Individual
Prefix:DR
First Name:RUEBEN
Middle Name:LAWRENCE
Last Name:CARTER
Suffix:JR
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 1:549 W MARLIN CT
Mailing Address - Street 2:
Mailing Address - City:TERRYTOWN
Mailing Address - State:LA
Mailing Address - Zip Code:70056-2851
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3308 TULANE AVE STE 303
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70119-7161
Practice Address - Country:US
Practice Address - Phone:504-233-2083
Practice Address - Fax:504-605-2217
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-31
Last Update Date:2023-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1803111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor