Provider Demographics
NPI:1053451054
Name:KARP CHIROPRACTIC AND JOINT REHABILITATION CENTER OF BERWYN
Entity Type:Organization
Organization Name:KARP CHIROPRACTIC AND JOINT REHABILITATION CENTER OF BERWYN
Other - Org Name:KARP CHIROPRACTIC AND JOINT REHABILITATION CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:RICHARD
Authorized Official - Last Name:KARP
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:610-430-6233
Mailing Address - Street 1:1646 WEST CHESTER PIKE
Mailing Address - Street 2:SUITE3
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19382-7995
Mailing Address - Country:US
Mailing Address - Phone:610-430-6233
Mailing Address - Fax:610-430-6565
Practice Address - Street 1:1646 WEST CHESTER PIKE
Practice Address - Street 2:SUITE3
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19382-7995
Practice Address - Country:US
Practice Address - Phone:610-430-6233
Practice Address - Fax:610-430-6565
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC006133L111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NS0005XChiropractic ProvidersChiropractorSports PhysicianGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA611868TXVMedicare ID - Type Unspecified