Provider Demographics
NPI:1003896317
Name:CERWINSKI, KAREN A (DC)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:A
Last Name:CERWINSKI
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26401 N JAMES MADISON HWY
Mailing Address - Street 2:
Mailing Address - City:NEW CANTON
Mailing Address - State:VA
Mailing Address - Zip Code:23123
Mailing Address - Country:US
Mailing Address - Phone:434-581-2273
Mailing Address - Fax:434-581-2274
Practice Address - Street 1:26401 N JAMES MADISON HWY
Practice Address - Street 2:
Practice Address - City:NEW CANTON
Practice Address - State:VA
Practice Address - Zip Code:23123
Practice Address - Country:US
Practice Address - Phone:434-581-2273
Practice Address - Fax:434-581-2274
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-20
Last Update Date:2017-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104002011111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA287625OtherANTHEM BCBS
U88291Medicare UPIN
VA350001217Medicare ID - Type Unspecified