MEDICARE: ALICE KORINS CHARAP DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	11875	CA

General Provider Information

NPI Number	:	1912098724
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALICE KORINS CHARAP DC

Provider Business Mailing Address
First Line	:	2191 MARKET ST
Second Line	:	STE D
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94114-4314
Country	:	US
Telephone Number	:	415-863-4424
Fax Number	:	415-863-0168

Provider Business Practice Location Address
First Line	:	2191 MARKET ST
Second Line	:	STE D
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94114-4314
Country	:	US
Telephone Number	:	415-863-4424
Fax Number	:	415-863-0168

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/27/2006
Last Update Date	:	09/26/2017

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