Provider Demographics
NPI:1063718179
Name:CARRERE, ANITA M (DC)
Entity type:Individual
Prefix:DR
First Name:ANITA
Middle Name:M
Last Name:CARRERE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2619 SOUTH DR
Mailing Address - Street 2:
Mailing Address - City:ABBEVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70510-4044
Mailing Address - Country:US
Mailing Address - Phone:337-893-4353
Mailing Address - Fax:337-893-4366
Practice Address - Street 1:2619 SOUTH DR
Practice Address - Street 2:
Practice Address - City:ABBEVILLE
Practice Address - State:LA
Practice Address - Zip Code:70510-4044
Practice Address - Country:US
Practice Address - Phone:337-893-4353
Practice Address - Fax:337-893-4366
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-07
Last Update Date:2011-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1588111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor