Provider Demographics
NPI:1801980040
Name:CARRIER, MICHELE M (DC)
Entity type:Individual
Prefix:MRS
First Name:MICHELE
Middle Name:M
Last Name:CARRIER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:129 INDIAN LAKE RD
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37075-3820
Mailing Address - Country:US
Mailing Address - Phone:615-822-7421
Mailing Address - Fax:615-822-7475
Practice Address - Street 1:129 INDIAN LAKE RD
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:TN
Practice Address - Zip Code:37075-3820
Practice Address - Country:US
Practice Address - Phone:615-822-7421
Practice Address - Fax:615-822-7475
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN774111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN6713036OtherCIGNA PROVIDER ID
TN4442024OtherUNITED HEALTHCARE PRO ID
TN420069OtherACN PROVIDER ID NUMBER
TN4671200OtherAETNA PROVIDER ID NUMBER
TN3036223OtherBLUECROSS PROVIDER ID
TN3677457Medicare ID - Type UnspecifiedINDIVIDUAL PROVIDER MC ID
TN6713036OtherCIGNA PROVIDER ID
TN4442024OtherUNITED HEALTHCARE PRO ID