Provider Demographics
NPI:1215928106
Name:GRAPPIN, CARL W (DC)
Entity type:Individual
Prefix:DR
First Name:CARL
Middle Name:W
Last Name:GRAPPIN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:12511 TAMIAMI TRL S
Mailing Address - Street 2:
Mailing Address - City:NORTH PORT
Mailing Address - State:FL
Mailing Address - Zip Code:34287-1446
Mailing Address - Country:US
Mailing Address - Phone:941-426-9551
Mailing Address - Fax:941-426-9552
Practice Address - Street 1:12511 TAMIAMI TRL S
Practice Address - Street 2:
Practice Address - City:NORTH PORT
Practice Address - State:FL
Practice Address - Zip Code:34287-1446
Practice Address - Country:US
Practice Address - Phone:941-426-9551
Practice Address - Fax:941-426-9552
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-31
Last Update Date:2011-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH2593111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL88162Medicare PIN