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NPI Code Detail

MEDICARE: DR. JOEL MATTHEW CARSON D.C.

MEDICARE:  DR. JOEL MATTHEW CARSON  D.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
1111N00000XChiropractor08002401AIN

General Provider Information

NPI Number : 1003068354
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOEL MATTHEW CARSON D.C.
Provider Business Mailing Address
First Line : 855 N HIGH SCHOOL RD
Second Line : STE 6
City : INDIANAPOLIS
State : IN
Zip : 46214-5702
Country : US
Telephone Number : 317-270-9500
Fax Number : 317-757-6877
Provider Business Practice Location Address
First Line : 855 N HIGH SCHOOL RD
Second Line : STE 6
City : INDIANAPOLIS
State : IN
Zip : 46214-5702
Country : US
Telephone Number : 317-270-9500
Fax Number : 317-757-6877
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/17/2008
Last Update Date : 01/19/2017

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Directions to “ DR. JOEL MATTHEW CARSON D.C.” Practice Location

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