Provider Demographics
NPI:1427366525
Name:COLE, CAREN B (DC)
Entity Type:Individual
Prefix:DR
First Name:CAREN
Middle Name:B
Last Name:COLE
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 1:150 SHORELINE HWY BLDG C
Mailing Address - Street 2:
Mailing Address - City:MILL VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:94941-3639
Mailing Address - Country:US
Mailing Address - Phone:415-331-5747
Mailing Address - Fax:
Practice Address - Street 1:150 SHORELINE HWY BLDG C
Practice Address - Street 2:
Practice Address - City:MILL VALLEY
Practice Address - State:CA
Practice Address - Zip Code:94941-3639
Practice Address - Country:US
Practice Address - Phone:415-331-5747
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-23
Last Update Date:2010-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC19241111NP0017X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NP0017XChiropractic ProvidersChiropractorPediatric Chiropractor