Provider Demographics
NPI:1356395602
Name:CARR, ALEXANDER JAMES (DC)
Entity type:Individual
Prefix:DR
First Name:ALEXANDER
Middle Name:JAMES
Last Name:CARR
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 1:142 N RUSH ST
Mailing Address - Street 2:STE 1
Mailing Address - City:PRESCOTT
Mailing Address - State:AZ
Mailing Address - Zip Code:86301-3225
Mailing Address - Country:US
Mailing Address - Phone:928-776-8230
Mailing Address - Fax:888-314-8148
Practice Address - Street 1:347 S MONTEZUMA ST
Practice Address - Street 2:
Practice Address - City:PRESCOTT
Practice Address - State:AZ
Practice Address - Zip Code:86303-4221
Practice Address - Country:US
Practice Address - Phone:928-776-8230
Practice Address - Fax:928-776-1334
Is Sole Proprietor?:No
Enumeration Date:2006-05-20
Last Update Date:2018-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ7388111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZAZ0940730OtherBLUE CROSS BLUE SHIELD AZ
AZ7432592OtherAETNA HMO
AZ838790OtherAHCCCS
AZ120551200522OtherHUMANA
AZAZ0940730OtherBLUE CROSS BLUE SHIELD AZ