Provider Demographics
NPI:1871362111
Name:CARTER, MARY FRANCES
Entity type:Individual
Prefix:MRS
First Name:MARY
Middle Name:FRANCES
Last Name:CARTER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6511 RIDGEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:CASTALIA
Mailing Address - State:OH
Mailing Address - Zip Code:44824-9374
Mailing Address - Country:US
Mailing Address - Phone:419-656-9285
Mailing Address - Fax:
Practice Address - Street 1:5950 PARK SQUARE DR
Practice Address - Street 2:
Practice Address - City:LORAIN
Practice Address - State:OH
Practice Address - Zip Code:44053-4141
Practice Address - Country:US
Practice Address - Phone:937-771-0776
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-28
Last Update Date:2023-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRT322845347C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle