Individual
JOHN CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
349 W 1ST ST, ALBANY, IN 47320-1705
(765) 789-4541
(765) 789-4547
Mailing address
349 W 1ST ST, ALBANY, IN 47320-1705
(765) 789-4541
(765) 789-4547
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01047066A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000678380
ANTHEM
IN
01
—
000000853017
ANTHEM
IN
05
—
200206980
—
IN
01
—
P01168190
RAILROAD MEDICARE
IN
Enumeration date
07/24/2006
Last updated
02/06/2015
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