Individual
DR. VIVIAN MARIE CARBONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
16 MUNICIPAL DR, SUITE E, ARNOLD, MO 63010-1043
(636) 296-1093
(636) 296-5955
Mailing address
16 MUNICIPAL DR, SUITE E, ARNOLD, MO 63010-1043
(636) 296-1093
(636) 296-5955
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
005667
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001686543
GREAT WEST PIN
MO
01
—
141218800
DEPARTMENT OF LABOR PIN
MO
01
—
175409
HEALTHLINK PIN
MO
01
—
431527505
CIGNA PIN
MO
01
—
4572
BLUE CROSS PIN
MO
01
—
60338
GROUP HEALTH PLAN PIN
MO
01
—
P00173065
MEDICARE RR
MO
Enumeration date
03/16/2007
Last updated
06/16/2008
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