Provider Demographics
NPI:1033220371
Name:CAIN, KAREN A (DC)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:A
Last Name:CAIN
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 1:1720 S BELLAIRE ST STE 1210
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80222-4336
Mailing Address - Country:US
Mailing Address - Phone:303-399-2447
Mailing Address - Fax:303-691-5772
Practice Address - Street 1:1720 S BELLAIRE ST STE 1210
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80222-4336
Practice Address - Country:US
Practice Address - Phone:303-399-2447
Practice Address - Fax:303-691-5772
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2009-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO4518111N00000X, 111NN1001X, 111NN0400X, 111NR0400X, 225000000X, 225100000X, 225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No111NN1001XChiropractic ProvidersChiropractorNutrition
No111NN0400XChiropractic ProvidersChiropractorNeurology
No111NR0400XChiropractic ProvidersChiropractorRehabilitation
No225000000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotic Fitter
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO84-1572899OtherEIN
COC47453Medicare PIN
COU71716Medicare UPIN