Provider Demographics
NPI:1174952717
Name:CARTIER, JEAN-MARIE NICOLE (LAC, DACM, MATCM)
Entity type:Individual
Prefix:DR
First Name:JEAN-MARIE
Middle Name:NICOLE
Last Name:CARTIER
Suffix:
Gender:F
Credentials:LAC, DACM, MATCM
Other - Prefix:
Other - First Name:JEAN-MARIE
Other - Middle Name:NICOLE
Other - Last Name:OHARA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RAC
Mailing Address - Street 1:2323 BROOKFARM CT SE
Mailing Address - Street 2:
Mailing Address - City:KENTWOOD
Mailing Address - State:MI
Mailing Address - Zip Code:49508-6561
Mailing Address - Country:US
Mailing Address - Phone:323-620-0251
Mailing Address - Fax:
Practice Address - Street 1:6293 KENOWA AVE SW
Practice Address - Street 2:
Practice Address - City:GRANDVILLE
Practice Address - State:MI
Practice Address - Zip Code:49418-9405
Practice Address - Country:US
Practice Address - Phone:323-620-0251
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-04
Last Update Date:2021-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC15581171100000X
MI5401000246171100000X
MI5402000033171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist