Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | G49380 | CA |
NPI | 1023025996 |
---|---|
Provider Name | Dr. Christopher Charles Carver |
First Address | Salinas, CA 93912-3168 |
Second Address | Salinas, CA 93901 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/08/2006 |
Last Update Date | 20/02/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
94170316793901A0003 | TRICARE (01) | |
A51350 | (02) | |
ZZZ70373Z | (05) | CA |