MEDICARE: CARTER CHIROPRACTIC P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor		AZ

General Provider Information

NPI Number	:	1588860332
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARTER CHIROPRACTIC P.C.

Provider Business Mailing Address
First Line	:	5455 S HIGHWAY 95
Second Line	:
City	:	BULLHEAD CITY
State	:	AZ
Zip	:	86426-9227
Country	:	US
Telephone Number	:	928-768-1122
Fax Number	:	928-768-4754

Provider Business Practice Location Address
First Line	:	5455 S HIGHWAY 95
Second Line	:
City	:	BULLHEAD CITY
State	:	AZ
Zip	:	86426-9227
Country	:	US
Telephone Number	:	928-768-1122
Fax Number	:	928-768-4754

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. MARY E. CARTER
Credential	:	D.C.
Telephone Number	:	928-768-1122

Provider Enumeration Date	:	06/26/2007
Last Update Date	:	08/22/2020

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