Provider Demographics
NPI:1033644729
Name:CARPENTER, CHRISTOPHER LANIER (MD)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:LANIER
Last Name:CARPENTER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4755 OGLETOWN STANTON RD STE 6E34
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19718-2200
Mailing Address - Country:US
Mailing Address - Phone:302-733-4186
Mailing Address - Fax:302-733-6905
Practice Address - Street 1:4755 OGLETOWN STANTON RD STE 6E34
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19718-2200
Practice Address - Country:US
Practice Address - Phone:302-733-4186
Practice Address - Fax:302-733-6905
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-01
Last Update Date:2024-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMT227744207PH0002X
DEC1-0027270207PH0002X, 207P00000X
VA0101268538207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207PH0002XAllopathic & Osteopathic PhysiciansEmergency MedicineHospice and Palliative Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine