Healthcare Provider Details

I. General information

NPI: 1720282742
Provider Name (Legal Business Name): CRAIG V CARR DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/13/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

414 HIGHLAND CT
IOWA CITY IA
52240-4517
US

IV. Provider business mailing address

414 HIGHLAND CT
IOWA CITY IA
52240-4517
US

V. Phone/Fax

Practice location:
  • Phone: 319-351-3541
  • Fax: 319-351-0743
Mailing address:
  • Phone: 319-351-3541
  • Fax: 319-351-0743

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NI0013X
TaxonomyIndependent Medical Examiner Chiropractor
License Number04650
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: