Individual
DR. CHARLES HERBERT CARPENTIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
6051 CONSTITUTION BLVD STE B, PORTAGE, MI 49024-1613
(269) 323-9473
(269) 323-9475
Mailing address
6051 CONSTITUTION BLVD STE B, PORTAGE, MI 49024-1613
(269) 323-9473
(269) 323-9475
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301008077
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0C95056
BLUE CROSS MI
MI
Enumeration date
11/07/2006
Last updated
07/09/2007
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