Provider Demographics
NPI:1952609745
Name:CHRISTOPHER E. CARTER, P.C.
Entity Type:Organization
Organization Name:CHRISTOPHER E. CARTER, P.C.
Other - Org Name:THE WELLNESS CENTER AND CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIROPRACTOR / OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:E
Authorized Official - Last Name:CARTER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:812-285-1700
Mailing Address - Street 1:924 W MCCLAIN AVE
Mailing Address - Street 2:
Mailing Address - City:SCOTTSBURG
Mailing Address - State:IN
Mailing Address - Zip Code:47170-1130
Mailing Address - Country:US
Mailing Address - Phone:812-752-1800
Mailing Address - Fax:812-752-1900
Practice Address - Street 1:1442 HORN ST
Practice Address - Street 2:SUITE A
Practice Address - City:CLARKSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47129-6701
Practice Address - Country:US
Practice Address - Phone:812-285-1700
Practice Address - Fax:812-285-1900
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CHRISTOPHER E. CARTER, P.C.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-03-03
Last Update Date:2011-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08001742A111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200974310AMedicaid
IN200167420AMedicaid
IN200167420AMedicaid
731300Medicare PIN