Individual
DR. ELIZABETH A CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
4444 LANKERSHIM BLVD STE 104, TOLUCA LAKE, CA 91602
(215) 262-7916
Mailing address
18017 CHATSWORTH ST # 675, GRANADA HILLS, CA 91344-5608
(215) 262-7916
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
33734
CA
111N00000X
Chiropractor
DC5765L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
800338
BLUE CROSS PERSONAL CHOIC
PA
01
—
CA1579486
BLUE SHIELD
PA
Enumeration date
01/30/2006
Last updated
06/26/2019
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