Provider Demographics
NPI:1306148556
Name:CARTER, JAMES EDWARD (DC)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:EDWARD
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:PO BOX 3548
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:94526-8548
Mailing Address - Country:US
Mailing Address - Phone:925-736-8906
Mailing Address - Fax:925-736-8908
Practice Address - Street 1:133 SHADOW CREEK CT
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:CA
Practice Address - Zip Code:94506-1291
Practice Address - Country:US
Practice Address - Phone:925-736-8906
Practice Address - Fax:925-736-8908
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-20
Last Update Date:2010-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA17050111NR0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0200XChiropractic ProvidersChiropractorRadiology