Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0400X | Rehabilitation Chiropractor | 2812 | OH |
NPI | 1023106820 |
---|---|
Provider Name | Mr. Paul F Carey |
First Address | Athens, OH 45701-1315 |
Second Address | Athens, OH 45701-1315 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/10/2006 |
Last Update Date | 11/06/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2278619 | (05) | OH |
U85650 | (02) | OH |