1942519780 NPI number — DR. BRIAN CHRISTOPHER CARLTON D.C.

Table of content: MS. NANCY S BARR O.D. (NPI 1801973706)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1942519780 NPI number — DR. BRIAN CHRISTOPHER CARLTON D.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CARLTON
Provider First Name:
BRIAN
Provider Middle Name:
CHRISTOPHER
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
D.C.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1942519780
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/30/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7212 US HIGHWAY 19
Provider Second Line Business Mailing Address:
STE. 1
Provider Business Mailing Address City Name:
NEW PORT RICHEY
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
34652-1641
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
727-484-6940
Provider Business Mailing Address Fax Number:
727-484-6940

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7212 US HIGHWAY 19
Provider Second Line Business Practice Location Address:
STE. 1
Provider Business Practice Location Address City Name:
NEW PORT RICHEY
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
34652-1641
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
727-484-6740
Provider Business Practice Location Address Fax Number:
727-484-6942
Provider Enumeration Date:
09/28/2010

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 111N00000X , with the licence number:  038-011761 , registered in the state of IL ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 111N00000X , with the licence number: CH10514 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 011138300 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".