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Organization
CARPENTERS SERVICES
Active
Organization
CARPENTERS SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JACKIE CARPENTER MD (CEO)
(202) 290-9838
Entity
Organization
Contact information
Practice address
4639 HILLTOP TER SE, WASHINGTON, DC 20019-7837
(202) 290-9838
Mailing address
4639 HILLTOP TER SE, WASHINGTON, DC 20019-7837
(202) 290-9838
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
—
NULL
133V00000X
Registered Dietitian
—
—
207VC0200X
Critical Care Medicine (Obstetrics & Gynecology) Physician
—
NULL
207VC0200X
Critical Care Medicine (Obstetrics & Gynecology) Physician
—
—
208200000X
Plastic Surgery Physician
—
NULL
208200000X
Plastic Surgery Physician
—
—
251S00000X
Community/Behavioral Health Agency
—
NULL
253Z00000X
In Home Supportive Care Agency
—
NULL
261QC1500X
Community Health Clinic/Center
Primary
—
NULL
261QC1800X
Corporate Health Clinic/Center
—
NULL
261QE0002X
Emergency Care Clinic/Center
—
NULL
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
NULL
261QR0800X
Recovery Care Clinic/Center
—
NULL
261QU0200X
Urgent Care Clinic/Center
—
NULL
305S00000X
Point of Service
—
NULL
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
NULL
333300000X
Emergency Response System Companies
—
NULL
363LP2300X
Primary Care Nurse Practitioner
—
NULL
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
09/01/2022
Last updated
09/01/2022
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