Healthcare Provider Details

I. General information

NPI: 1154384550
Provider Name (Legal Business Name): KAREN S NEAR DC
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 04/08/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2913 WINDMILL RD STE 1
SINKING SPRING PA
19608
US

IV. Provider business mailing address

10 FARM CIRCLE
MOHNTON PA
19540
US

V. Phone/Fax

Practice location:
  • Phone: 610-670-7555
  • Fax: 610-670-7808
Mailing address:
  • Phone: 610-670-7555
  • Fax: 610-670-7808

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC003283L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: