Individual
PAUL G CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
4444 MAIN ST, BRIDGEPORT, CT 06606-1820
(203) 374-4393
(203) 371-8584
Mailing address
4444 MAIN ST, BRIDGEPORT, CT 06606-1820
(203) 374-4393
(203) 371-8584
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
214
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004004073
—
CT
Enumeration date
05/18/2006
Last updated
07/17/2013
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