Provider Demographics
NPI:1275761223
Name:ZAKAR, KAREN S (DC)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:S
Last Name:ZAKAR
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 1:2 GLORY LN
Mailing Address - Street 2:
Mailing Address - City:ESTANCIA
Mailing Address - State:NM
Mailing Address - Zip Code:87016-9738
Mailing Address - Country:US
Mailing Address - Phone:505-384-1815
Mailing Address - Fax:
Practice Address - Street 1:2 GLORY LN
Practice Address - Street 2:
Practice Address - City:ESTANCIA
Practice Address - State:NM
Practice Address - Zip Code:87016-9738
Practice Address - Country:US
Practice Address - Phone:505-384-1815
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-29
Last Update Date:2009-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM1645111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor