Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 1096 | MA |
N | 111NI0013X | Independent Medical Examiner | 1096 | MA |
N | 111NS0005X | Chiropractic Sports Physician | 1096 | MA |
NPI | 1750360376 |
---|---|
Provider Name | Dr. David F Carroll |
First Address | Norwood, MA 02062-2337 |
Second Address | Norwood, MA 02062-2337 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/01/2006 |
Last Update Date | 12/12/2012 |