CHARLES L. CARR JR, DO, PA NPI 1346596483

Neuromusculoskeletal Medicine & OMM in Kennebunk, ME

NPI 1346596483 Organization Neuromusculoskeletal Medicine & OMM

About CHARLES L. CARR JR, DO, PA

Charles L. Carr Jr, Do, Pa is a provider established in Kennebunk, Maine specializing in neuromusculoskeletal medicine & omm. The NPI number of Charles L. Carr Jr, Do, Pa is 1346596483 and was assigned on July 2012. The practitioner's primary taxonomy code is 204D00000X with license number 1555 (ME). The provider is registered as an organization and their NPI record was last updated 9 years ago. Charles L. Carr Jr, Do, Pa operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Charles L. Carr Jr. Do (Provider/president/owner)

NPI

1346596483

Provider NameCHARLES L. CARR JR, DO, PA
Provider Location Address2 MAIN STREET SUITE 404 LAFAYETTE CENTER KENNEBUNK, ME 04043
Provider Mailing AddressP.O. BOX 800 SUITE 404 LAFAYETTE CENTER KENNEBUNK, ME 04043
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date07-26-2012
Last Update Date07-26-2012


Primary Taxonomy

Taxonomy Code204D00000X
ClassificationNeuromusculoskeletal Medicine & OMM
TypeAllopathic & Osteopathic Physicians
License No.1555
License StateME
Taxonomy DescriptionThe Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients.

Business Address

CHARLES L. CARR JR, DO, PA
2 MAIN STREET
SUITE 404 LAFAYETTE CENTER
KENNEBUNK, ME
ZIP 04043
Phone: (207) 985-0011
Fax: (207) 985-5111

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Mailing Address

CHARLES L. CARR JR, DO, PA
P.O. BOX 800
SUITE 404 LAFAYETTE CENTER
KENNEBUNK, ME
ZIP 04043
Phone: (207) 985-0011
Fax: (207) 985-5111



Authorized Official

Authorized Official Name CHARLES L. CARR JR. DO
Authorized Official TitlePROVIDER/PRESIDENT/OWNER
Authorized Official Phone(207) 985-0011

Group Taxonomy


193400000X SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.