Provider Demographics
NPI:1982788162
Name:CARTER, KAREN L (DC)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:L
Last Name:CARTER
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 1:1120 HIGHWAY 51
Mailing Address - Street 2:
Mailing Address - City:PONCHATOULA
Mailing Address - State:LA
Mailing Address - Zip Code:70454-6365
Mailing Address - Country:US
Mailing Address - Phone:985-370-8600
Mailing Address - Fax:
Practice Address - Street 1:1120 HWY 51
Practice Address - Street 2:
Practice Address - City:PONCHATOULA
Practice Address - State:LA
Practice Address - Zip Code:70454
Practice Address - Country:US
Practice Address - Phone:985-370-8600
Practice Address - Fax:985-370-8060
Is Sole Proprietor?:No
Enumeration Date:2006-10-25
Last Update Date:2017-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1084111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
U01899Medicare UPIN
LA4C383Medicare ID - Type Unspecified