Provider Demographics
NPI:1932380060
Name:DANIEL J. CARLOW, D.C., P.C.
Entity Type:Organization
Organization Name:DANIEL J. CARLOW, D.C., P.C.
Other - Org Name:ISLANDS CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:CARLOW
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:480-545-4580
Mailing Address - Street 1:1447 W ELLIOT RD STE 103
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85233-5166
Mailing Address - Country:US
Mailing Address - Phone:480-545-4580
Mailing Address - Fax:480-892-4640
Practice Address - Street 1:1447 W ELLIOT RD STE 103
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85233-5166
Practice Address - Country:US
Practice Address - Phone:480-545-4580
Practice Address - Fax:480-892-4640
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-16
Last Update Date:2007-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ5134111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Single Specialty