Provider Demographics
NPI:1659364875
Name:ESTRAMONTE, KAREN ANN (DC)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:ANN
Last Name:ESTRAMONTE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:KAREN
Other - Middle Name:A
Other - Last Name:ROLFES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:402 E SUGAR CREEK RD
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28213-6913
Mailing Address - Country:US
Mailing Address - Phone:704-405-7000
Mailing Address - Fax:704-405-7001
Practice Address - Street 1:402 E SUGAR CREEK RD
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28213-6913
Practice Address - Country:US
Practice Address - Phone:704-405-7000
Practice Address - Fax:704-405-7001
Is Sole Proprietor?:No
Enumeration Date:2005-08-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3034111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC89085GYMedicaid
NC89085GYMedicaid
NC2454504Medicare ID - Type Unspecified