Provider Demographics
NPI:1982745287
Name:CARRIGER, DOREEN R
Entity Type:Individual
Prefix:MRS
First Name:DOREEN
Middle Name:R
Last Name:CARRIGER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:934 S SYCAMORE ST
Mailing Address - Street 2:
Mailing Address - City:OTTAWA
Mailing Address - State:KS
Mailing Address - Zip Code:66067-3143
Mailing Address - Country:US
Mailing Address - Phone:785-242-5345
Mailing Address - Fax:785-242-5345
Practice Address - Street 1:934 S SYCAMORE ST
Practice Address - Street 2:
Practice Address - City:OTTAWA
Practice Address - State:KS
Practice Address - Zip Code:66067-3143
Practice Address - Country:US
Practice Address - Phone:785-242-5345
Practice Address - Fax:785-242-5345
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-09
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management