Virginia Marie Carter, LMT

Individual provider Active NPI Specialist · Swanton, OH

NPI 1447574181 · NPPES record last updated Mar 24, 2010

Key facts

NPI
1447574181
Entity type
Individual (NPI type 1)
Primary specialty
Specialist 174400000X
License
16603 (OH)
Practice address
101 Church St
Swanton, OH 43558-1013
Phone
(419) 826-9146
NPI assigned
Mar 24, 2010
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

LicenseStateTypeSpecialty
16603OHMDSpecialist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 16603 OH Yes

Addresses

Primary practice location

101 Church St
Swanton, OH 43558-1013

Mailing address

4078 County Road V
Liberty Center, OH 43532-9507
Phone (419) 360-2288

Other providers in Swanton, OH

All providers in Swanton, OH · Specialist in Ohio

Sources for this page

Verify at the official NPI Registry.