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Individual
DR. CARRIE CARTER
Active
Individual
DR. CARRIE CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038006921
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1682459
BCBS
IL
01
—
364281806
FEIN
IL
Enumeration date
11/16/2006
Last updated
07/02/2008
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