Provider Demographics
NPI:1811614753
Name:LOVINGS, CARTER
Entity type:Individual
Prefix:
First Name:CARTER
Middle Name:
Last Name:LOVINGS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1553 ROAMONT DR
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45459-3361
Mailing Address - Country:US
Mailing Address - Phone:937-478-5570
Mailing Address - Fax:
Practice Address - Street 1:1553 ROAMONT DR
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45459-3361
Practice Address - Country:US
Practice Address - Phone:937-478-5570
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-21
Last Update Date:2022-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant