Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0400X | Rehabilitation Chiropractor | 1126 | OH |
NPI | 1215081203 |
---|---|
Provider Name | Daniel Joseph Carey II |
First Address | Proctorville, OH 45669-0489 |
Second Address | Proctorville, OH 45669-5090 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/01/2007 |
Last Update Date | 09/04/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0623838 | (05) | OH |
T82009 | (02) | OH |