Individual
CARSON JAMES CALDWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2000 W UNIVERSITY AVE, MUNCIE, IN 47306-1022
(765) 289-1241
Mailing address
2776 HIGH ACRES EAST ST, NEW PALESTINE, IN 46163-9796
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
12/05/2017
Last updated
03/17/2018
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