Provider Demographics
NPI:1689755829
Name:ZAMZOW, KAREN (DC)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:
Last Name:ZAMZOW
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 1:310 ERLER ST
Mailing Address - Street 2:
Mailing Address - City:SITKA
Mailing Address - State:AK
Mailing Address - Zip Code:99835-7336
Mailing Address - Country:US
Mailing Address - Phone:907-747-8502
Mailing Address - Fax:907-747-8503
Practice Address - Street 1:310 ERLER ST
Practice Address - Street 2:
Practice Address - City:SITKA
Practice Address - State:AK
Practice Address - Zip Code:99835-7336
Practice Address - Country:US
Practice Address - Phone:907-747-8502
Practice Address - Fax:907-747-8503
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2008-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK303111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
AKK0000QGHHRMedicare ID - Type Unspecified