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NPI Code Detail

MEDICARE: DR. ROBERT I CARPENTER D.C.

MEDICARE: DR. ROBERT I CARPENTER 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
1111N00000XChiropractor1413-012WI

Other Identifiers

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

General Provider Information

NPI Number : 1871521336
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBERT I CARPENTER D.C.
Provider Business Mailing Address
First Line : 10731 W FOREST HOME AVE
Second Line :
City : HALES CORNERS
State : WI
Zip : 53130-2555
Country : US
Telephone Number : 414-529-4600
Fax Number : 414-529-4689
Provider Business Practice Location Address
First Line : 10731 W FOREST HOME AVE
Second Line :
City : HALES CORNERS
State : WI
Zip : 53130-2555
Country : US
Telephone Number : 414-529-4600
Fax Number : 414-529-4689
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2006
Last Update Date : 07/08/2007

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