Individual
DR. TERRANCE PATRICK CAROLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
300 W 4TH ST, SUITE C, EUREKA, MO 63025-1839
(636) 938-4414
Mailing address
PO BOX 133, EUREKA, MO 63025-0133
(636) 938-4414
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2000153523
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
132036
BLUE CROSS BLUE SHIELD
MO
01
—
433186
HEALTHLINK
MO
01
—
44-02215
UNITED HEALTH CARE
MO
01
—
5632071
FIRST HEALTH
MO
Enumeration date
09/22/2006
Last updated
07/09/2007
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