Jacquellyn Jo Carter, D. C.
Individual provider Active NPI Independent Medical Examiner Chiropractor · Eldridge, IA
NPI 1275801201 · NPPES record last updated Dec 5, 2011
Key facts
- NPI
- 1275801201
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Independent Medical Examiner Chiropractor 111NI0013X
- License
- 007491 (IA)
- Practice address
- 132 Hillside Dr
Eldridge, IA 52748-9637 - Phone
- (563) 505-7162
- NPI assigned
- Dec 5, 2011
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007491 | IA | MD | Independent Medical Examiner Chiropractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Independent Medical Examiner Chiropractor | 111NI0013X | 007491 | IA | Yes |
Addresses
Primary practice location
132 Hillside Dr
Eldridge, IA 52748-9637
Mailing address
132 Hillside Dr
Eldridge, IA 52748-9637
Phone (563) 505-7162
Other providers in Eldridge, IA
- Balanced Integrative Care, LLC
- Wendy Ann Bellin
- Leo Jay Brown
- Callahan Construction, Inc.
- Darren C Campbell
- Jennifer Carton
- Conway Chin
- Chiropractic Care Center, P.C.
- Chizek Family Eyecare Inc
- Linda Clark
All providers in Eldridge, IA · Independent Medical Examiner Chiropractor in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 5, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.