Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | 27 2737 | OR |
NPI | 1497802334 |
---|---|
Provider Name | Dr. Nancy K. Carpentier |
First Address | Burns, OR 97720-2107 |
Second Address | Burns, OR 97720-2107 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/01/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
U21176 | (02) | OR |