Provider Demographics
NPI:1235179565
Name:WOLSTEIN, KAREN J (DC)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:J
Last Name:WOLSTEIN
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 1:32976 US HIGHWAY 19 N
Mailing Address - Street 2:
Mailing Address - City:PALM HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34684-3122
Mailing Address - Country:US
Mailing Address - Phone:727-787-6677
Mailing Address - Fax:727-787-1177
Practice Address - Street 1:32976 US HIGHWAY 19 N
Practice Address - Street 2:
Practice Address - City:PALM HARBOR
Practice Address - State:FL
Practice Address - Zip Code:34684-3122
Practice Address - Country:US
Practice Address - Phone:727-787-6677
Practice Address - Fax:727-787-1177
Is Sole Proprietor?:No
Enumeration Date:2006-06-07
Last Update Date:2015-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH6887111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLU56086Medicare UPIN
FL55290UMedicare PIN