MEDICARE: DR. DANIEL JOSEPH CARR 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
1	111N00000X	Chiropractor	3511	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1033289202
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DANIEL JOSEPH CARR D.C.

Provider Business Mailing Address
First Line	:	112 WEST BUTLER STREET
Second Line	:	PO BOX 672
City	:	FORT RECOVERY
State	:	OH
Zip	:	45846-0672
Country	:	US
Telephone Number	:	419-375-1808
Fax Number	:	419-375-1709

Provider Business Practice Location Address
First Line	:	112 WEST BUTLER STREET
Second Line	:
City	:	FORT RECOVERY
State	:	OH
Zip	:	45846-0672
Country	:	US
Telephone Number	:	419-375-1808
Fax Number	:	419-375-1709

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/08/2006
Last Update Date	:	07/09/2007

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