Provider Demographics
NPI:1194747337
Name:CARTER, STEVEN A (DC)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:A
Last Name:CARTER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4311 BARDSTOWN RD
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40218-3233
Mailing Address - Country:US
Mailing Address - Phone:502-491-7652
Mailing Address - Fax:502-491-7596
Practice Address - Street 1:4311 BARDSTOWN RD
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40218-3233
Practice Address - Country:US
Practice Address - Phone:502-491-7652
Practice Address - Fax:502-491-7596
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3796111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
KYT54458Medicare UPIN
KY6044301Medicare ID - Type Unspecified