Individual
MARK P CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
1306 APPLE GLEN BLVD, FORT WAYNE, IN 46804-1792
(260) 459-6924
(260) 459-6200
Mailing address
10021 DUPONT CIRCLE CT, FORT WAYNE, IN 46825-1604
(260) 426-8117
(260) 420-0817
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
23001896A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100312300
—
IN
Enumeration date
12/22/2005
Last updated
02/19/2009
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