Provider Demographics
NPI:1447527916
Name:DURR, CARSON CHARLES (DC)
Entity type:Individual
Prefix:DR
First Name:CARSON
Middle Name:CHARLES
Last Name:DURR
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 1:1620 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:LEWISTOWN
Mailing Address - State:MT
Mailing Address - Zip Code:59457-2257
Mailing Address - Country:US
Mailing Address - Phone:406-538-7431
Mailing Address - Fax:406-538-9803
Practice Address - Street 1:1620 W MAIN ST
Practice Address - Street 2:
Practice Address - City:LEWISTOWN
Practice Address - State:MT
Practice Address - Zip Code:59457-2257
Practice Address - Country:US
Practice Address - Phone:406-538-7431
Practice Address - Fax:406-538-9803
Is Sole Proprietor?:No
Enumeration Date:2011-11-28
Last Update Date:2023-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT1259111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor