Organization Name: | WAYNE S. CARR D.C. DBA CARR CHIROPRACTIC |
NPI Number: | 1306190947 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | WAYNE SCOTT CARR (OWNER/DOCTOR) |
Mailing Address: | 711 Healdsburg Ave Healdsburg |
State: | CA US |
Postal Code: | 954483671 |
Phone Number: | 7074317255 |
Fax Number: | 7074317256 |
NPI Enumeration Date: | 11/05/2012 |
NPI Last Update Date: | 11/05/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 19403 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |