Mark Joseph Carlow, D.C.

Individual provider Active NPI Chiropractor · Corte Madera, CA

NPI 1730200312 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1730200312
Entity type
Individual (NPI type 1)
Primary specialty
Chiropractor 111N00000X
License
DC24960 (CA)
Practice address
502 Tamalpais Dr
Corte Madera, CA 94925-1573
Phone
(415) 927-8053
Fax
(415) 927-4720
NPI assigned
Apr 2, 2007
Sex
Male
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
DC24960CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Wood Chiropractic, Inc. Chiropractor Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC24960 CA Yes

Addresses

Primary practice location

502 Tamalpais Dr
Corte Madera, CA 94925-1573

Mailing address

502 Tamalpais Dr
Corte Madera, CA 94925-1573
Phone (415) 927-8053

Other providers in Corte Madera, CA

All providers in Corte Madera, CA · Chiropractor in California

Sources for this page

Verify at the official NPI Registry.