Individual
JOHN RICHARD CARNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2600 GREENBUSH ST, LAFAYETTE, IN 47904-2477
(765) 448-8000
Mailing address
1200 W WHITE RIVER BLVD, MUNCIE, IN 47303-4988
(877) 668-5621
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
02002282A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000202495
ANTHEM PROVIDER NUMBER
IN
01
—
10824872
CAQH NUMBER
IN
05
—
200334450
—
IN
01
—
9274783
PHCS PID NUMBER
IN
Enumeration date
03/15/2006
Last updated
02/01/2021
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