Individual
DR. JOHN P CARNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2600 FERRY ST, LAFAYETTE, IN 47904-3055
(765) 448-8000
Mailing address
PO BOX 5545, LAFAYETTE, IN 47903-5545
(765) 448-8000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
5101019927
MI
208M00000X
Hospitalist Physician
Primary
02004605A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000938797
ANTHEM PROVIDER NUMBER
IN
05
—
201297100
—
IN
Enumeration date
06/26/2012
Last updated
02/01/2021
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