Provider Demographics
NPI:1285923441
Name:CARTER, MICHAEL D
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:D
Last Name:CARTER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2880 SANTA MARIA WAY STE D1
Mailing Address - Street 2:
Mailing Address - City:SANTA MARIA
Mailing Address - State:CA
Mailing Address - Zip Code:93455-2172
Mailing Address - Country:US
Mailing Address - Phone:805-934-0600
Mailing Address - Fax:805-937-8969
Practice Address - Street 1:2880 SANTA MARIA WAY STE D1
Practice Address - Street 2:
Practice Address - City:SANTA MARIA
Practice Address - State:CA
Practice Address - Zip Code:93455-2172
Practice Address - Country:US
Practice Address - Phone:805-934-0600
Practice Address - Fax:805-937-8969
Is Sole Proprietor?:No
Enumeration Date:2011-03-28
Last Update Date:2011-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker
No372600000XNursing Service Related ProvidersAdult Companion
No376K00000XNursing Service Related ProvidersNurse's Aide