Provider Demographics
NPI:1134336936
Name:HEUSLER, CARL JOSEPH (DC)
Entity type:Individual
Prefix:DR
First Name:CARL
Middle Name:JOSEPH
Last Name:HEUSLER
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 1:5706 85TH AVE
Mailing Address - Street 2:
Mailing Address - City:NEW CARROLLTON
Mailing Address - State:MD
Mailing Address - Zip Code:20784-2927
Mailing Address - Country:US
Mailing Address - Phone:301-577-0023
Mailing Address - Fax:301-577-0095
Practice Address - Street 1:5706 85TH AVE
Practice Address - Street 2:
Practice Address - City:NEW CARROLLTON
Practice Address - State:MD
Practice Address - Zip Code:20784-2927
Practice Address - Country:US
Practice Address - Phone:301-577-0023
Practice Address - Fax:301-577-0095
Is Sole Proprietor?:No
Enumeration Date:2007-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD01785111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor