Provider Demographics
NPI:1477507549
Name:DR KAREN M. SLOTA BS, DC
Entity Type:Organization
Organization Name:DR KAREN M. SLOTA BS, DC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:MICHAELA
Authorized Official - Last Name:SLOTA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:734-323-8402
Mailing Address - Street 1:2605 W 14 MILE RD STE 220
Mailing Address - Street 2:
Mailing Address - City:ROYAL OAK
Mailing Address - State:MI
Mailing Address - Zip Code:48073-1710
Mailing Address - Country:US
Mailing Address - Phone:248-919-9696
Mailing Address - Fax:
Practice Address - Street 1:2605 W 14 MILE RD STE 220
Practice Address - Street 2:
Practice Address - City:ROYAL OAK
Practice Address - State:MI
Practice Address - Zip Code:48073-1710
Practice Address - Country:US
Practice Address - Phone:248-919-9696
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-21
Last Update Date:2023-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301007871111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0M94480Medicare PIN