Provider Demographics
NPI:1912302563
Name:CARTER, STEVEN W (DC)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:W
Last Name:CARTER
Suffix:
Gender:
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 W COLLEGE ST STE 2
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:MO
Mailing Address - Zip Code:63379-1124
Mailing Address - Country:US
Mailing Address - Phone:636-775-2500
Mailing Address - Fax:855-615-3547
Practice Address - Street 1:101 W COLLEGE ST STE 2
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:MO
Practice Address - Zip Code:63379-1124
Practice Address - Country:US
Practice Address - Phone:636-775-2500
Practice Address - Fax:855-615-3547
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-24
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2014025468111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor