Carson, Chris Adair

Carson, Chris Adair is an individual health care provider with primary practice located at 4129 E Van Buren St , Phoenix AZ 85008-6939. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Carson, Chris Adair can be contacted via phone (602) 797-8394.

Contact Information

Primary practice address
4129 E Van Buren St Phoenix AZ 85008-6939
Phone: (602) 797-8394
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X MD2005-0302 New Mexico
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 33231 Arizona
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X H7945 Texas

Profile Details

NPI number 1811995863
LBN Legal business name Carson, Chris Adair
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2005
Last updated Nov 19th, 2010 - about 16 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 1811995863 NPPES
Arizona MEDICAID 894932

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