Provider Demographics
NPI:1013096312
Name:ALAN B CARNATHAN DC PA
Entity type:Organization
Organization Name:ALAN B CARNATHAN DC PA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:B
Authorized Official - Last Name:CARNATHAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:501-825-7200
Mailing Address - Street 1:PO BOX 1366
Mailing Address - Street 2:
Mailing Address - City:GREERS FERRY
Mailing Address - State:AR
Mailing Address - Zip Code:72067
Mailing Address - Country:US
Mailing Address - Phone:501-825-7200
Mailing Address - Fax:501-825-7972
Practice Address - Street 1:5 SHILOH ROAD
Practice Address - Street 2:
Practice Address - City:GREERS FERRY
Practice Address - State:AR
Practice Address - Zip Code:72067
Practice Address - Country:US
Practice Address - Phone:501-825-7200
Practice Address - Fax:501-825-7972
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR5B282Medicare ID - Type Unspecified