Karen Sue Carpenter IV

Individual provider Active NPI Day Training/Habilitation Specialist · Wabash, IN

NPI 1629199039 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1629199039
Entity type
Individual (NPI type 1)
Primary specialty
Day Training/Habilitation Specialist 373H00000X
Practice address
762 N Spring St
Wabash, IN 46992-1825
Phone
(260) 563-0875
Fax
(260) 563-1117
NPI assigned
Apr 3, 2007
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Day Training/Habilitation Specialist 373H00000X Yes

Addresses

Primary practice location

762 N Spring St
Wabash, IN 46992-1825

Mailing address

762 N Spring St
Wabash, IN 46992-1825
Phone (260) 563-0875

Other providers in Wabash, IN

All providers in Wabash, IN · Day Training/Habilitation Specialist in Indiana

Sources for this page

Verify at the official NPI Registry.