Provider Demographics
NPI:1891523643
Name:CARVELL, ROBERT A
Entity type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:A
Last Name:CARVELL
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 1:1014 9TH ST S
Mailing Address - Street 2:
Mailing Address - City:GREAT FALLS
Mailing Address - State:MT
Mailing Address - Zip Code:59405-4401
Mailing Address - Country:US
Mailing Address - Phone:406-564-2427
Mailing Address - Fax:406-761-6737
Practice Address - Street 1:1014 9TH ST S
Practice Address - Street 2:
Practice Address - City:GREAT FALLS
Practice Address - State:MT
Practice Address - Zip Code:59405-4401
Practice Address - Country:US
Practice Address - Phone:406-564-2427
Practice Address - Fax:406-761-6737
Is Sole Proprietor?:No
Enumeration Date:2024-07-23
Last Update Date:2024-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetist
No222Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotist