DR. CARL SKOUSON FREESTONE (NPI# 1992702658) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992702658 |
| Entity Type | Individual |
| Full Name | DR. CARL SKOUSON FREESTONE |
| Credential | D.C. |
| Practice Address |
34 Casa Linda Drive Ste D Taylor AZ 85939 |
| Mailing Address |
Po Box 36 Taylor AZ 85939-0036 |
| Practice Telephone | 9285364133 |
| Practice Fax Number | 9285364133 |
| Mailing Telephone | 9285364133 |
| Mailing Fax Number | 9285364133 |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 5061 | AZ | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | BCBSAZ PIN # | AZ09300070 | 01 |
| Street Address |
34 CASA LINDA DRIVE STE D |
| City | TAYLOR |
| State | AZ |
| Zip Code | 85939 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821564949 | Joseph Kyle Allen | Pharmacist | 3768 Papermill Rd, 1614, Taylor, AZ 85939 | 2018-10-16 |
| 1487145835 | Byrd Family Medical Center, LLC | Clinic/Center | 14 E Tumbleweed Ln, Taylor, AZ 85939 | 2018-05-22 |
| 1467817007 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 715 N Main Street, Taylor, AZ 85939 | 2015-12-28 |
| 1114320405 | Cooper Johnson Np LLC | Nurse Practitioner | 815 N Main Street, Taylor, AZ 85939 | 2014-10-01 |
| 1851631725 | Denise Renee Staker | Technician | 2010 Hunt Ranch Rd, Taylor, AZ 85939 | 2013-02-28 |
| 1194963942 | April Dawn Olmos | Occupational Therapy Assistant | 17 South 400 Easty, Taylor, AZ 85939 | 2009-02-02 |
| 1881619617 | Rhett Flake | Pharmacist | 660 N Main St, Taylor, AZ 85939 | 2006-07-13 |
| 1639538937 | Wal-mart Stores, Inc. | Technician/Technologist | 715 N Main Street, Taylor, AZ 85939 | 2016-02-15 |
| 1023055399 | Town of Taylor | Ambulance | 425 Papermill Rd, Taylor, AZ 85939-0158 | 2006-06-02 |
| 1659455566 | German Dobson Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 718 N. Main St, P.o. Box 1179, Taylor, AZ 85939-0919 | 2006-10-25 |
| Find all providers in zip 85939 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871133272 | Mitchell Wade Sutter | Chiropractor | 156 County Road 313, Taylor, MO 63471-2056 | 2020-01-14 |
| 1629424288 | C1c2 Pllc | Chiropractor | 1426 N Main St, Taylor, TX 76574-3032 | 2016-05-12 |
| 1710321005 | David Alan Nester | Chiropractor | 6617 Pine St, Taylor, MI 48180-1730 | 2013-04-17 |
| 1164680054 | Weber Chiropractic, Inc. | Chiropractor | 602 W 2nd St, Taylor, TX 76574-2824 | 2008-05-28 |
| 1770614190 | Paul J. Ovares | Chiropractor | 10060 Pelham Rd, Taylor, MI 48180-3831 | 2007-03-08 |
| 1619008232 | Joseph Michael Gnall | Chiropractor | 203 Davis St, Taylor, PA 18517-1911 | 2007-03-07 |
| 1316097876 | Jennifer Leslie Simpson | Chiropractor | 10424 Pelham Rd, Taylor, MI 48180 | 2007-01-10 |
| 1306912084 | Quest Health Systems Ix, Pllc | Chiropractor | 23540 Goddard Rd, Taylor, MI 48180-4115 | 2006-11-27 |
| 1376613679 | Paul Anthony Burow | Chiropractor | 612 North Main Street, Taylor, TX 76574 | 2006-11-08 |
| 1619057445 | Cass Jaye Bader | Chiropractor | 20700 Ecorse Road, Taylor, MI 48180-1962 | 2006-10-16 |
| Find all providers in TAYLOR | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.