Healthcare Provider Details

I. General information

NPI: 1710118336
Provider Name (Legal Business Name): CHRISTOPHER S CARR DC PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2009
Last Update Date: 04/09/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3055 WASHINGTON RD AMICI PLACE STE 304
MC MURRAY PA
15317-3279
US

IV. Provider business mailing address

3055 WASHINGTON RD AMICI PLACE STE 304
MC MURRAY PA
15317-3279
US

V. Phone/Fax

Practice location:
  • Phone: 724-969-4000
  • Fax: 724-969-4100
Mailing address:
  • Phone: 724-969-4000
  • Fax: 724-969-4100

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number9851
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier1015350290001
Identifier TypeMEDICAID
Identifier StatePA
Identifier Issuer

VIII. Authorized Official

Name: DR. CHRISTOPHER S CARR
Title or Position: OWNER
Credential: DC
Phone: 724-969-4000