Healthcare Provider Details

I. General information

NPI: 1003896317
Provider Name (Legal Business Name): KAREN A CERWINSKI DC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/20/2006
Last Update Date: 08/28/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26401 N JAMES MADISON HWY
NEW CANTON VA
23123
US

IV. Provider business mailing address

26401 N JAMES MADISON HWY
NEW CANTON VA
23123
US

V. Phone/Fax

Practice location:
  • Phone: 434-581-2273
  • Fax: 434-581-2274
Mailing address:
  • Phone: 434-581-2273
  • Fax: 434-581-2274

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number0104002011
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: