Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0400X | Rehabilitation Chiropractor | DC003462L | PA |
NPI | 1336322361 |
---|---|
Provider Name | Dr. James Thomas Carton |
First Address | Lakeville, PA 18438-4019 |
Second Address | Lakeville, PA 18438-4019 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/12/2007 |
Last Update Date | 21/10/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1336322361 | RAILROAD MEDICARE (01) | PA |