Carradine, Denise M.

Carradine, Denise M. is an individual health care provider with primary practice located at 8261 Market St Suite A, Boardman OH 44512-6254. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Carradine, Denise M. can be contacted via phone (330) 758-4446.

Contact Information

Primary practice address
8261 Market St Suite A Boardman OH 44512-6254
Fax: (330) 758-5703
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 1894 Ohio

Profile Details

NPI number 1962430140
LBN Legal business name Carradine, Denise M.
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2006
Last updated Aug 17th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962430140 NPPES
Ohio MEDICAID 0917155

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