Provider Demographics
NPI:1598190027
Name:CARPENTER, CAROLINE L (DC)
Entity type:Individual
Prefix:DR
First Name:CAROLINE
Middle Name:L
Last Name:CARPENTER
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 1:161 SCENIC DR.
Mailing Address - Street 2:
Mailing Address - City:HOT SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:71913-2244
Mailing Address - Country:US
Mailing Address - Phone:501-425-2843
Mailing Address - Fax:
Practice Address - Street 1:315 N. BOWMAN RD STE 12
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72211
Practice Address - Country:US
Practice Address - Phone:501-353-2595
Practice Address - Fax:501-294-6990
Is Sole Proprietor?:No
Enumeration Date:2013-09-03
Last Update Date:2021-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR16007111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor