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Individual

JOHN S CARR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
207 E 3RD ST, MILLER, SD 57362-1426
(605) 853-2230
(605) 853-3111
Mailing address
207 E 3RD ST, MILLER, SD 57362-1426
(605) 853-2230
(605) 853-3111

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
595
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0006716
BSSD
SD
01
0082802
BSSD
SD
01
4999756
BSSD
SD
01
4999851
BSSD
SD
01
4999861
BSSD
SD
05
7602084
SD
05
7602520
SD
05
7602522
SD
05
7602523
SD
05
7602524
SD
Enumeration date
03/17/2006
Last updated
01/23/2008
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