Provider Demographics
NPI:1730261223
Name:CARNATHAN, ALAN B (DC)
Entity type:Individual
Prefix:DR
First Name:ALAN
Middle Name:B
Last Name:CARNATHAN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1366
Mailing Address - Street 2:
Mailing Address - City:GREERS FERRY
Mailing Address - State:AR
Mailing Address - Zip Code:72067
Mailing Address - Country:US
Mailing Address - Phone:501-825-7200
Mailing Address - Fax:501-825-7972
Practice Address - Street 1:5 SHILOH ROAD
Practice Address - Street 2:
Practice Address - City:GREERS FERRY
Practice Address - State:AR
Practice Address - Zip Code:72067
Practice Address - Country:US
Practice Address - Phone:501-825-7200
Practice Address - Fax:501-725-7972
Is Sole Proprietor?:No
Enumeration Date:2006-10-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR806111N00000X
IN08000625A111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
T2055Medicare UPIN
59078Medicare ID - Type Unspecified