Provider Demographics
NPI:1851472518
Name:CLAUSS, CAROLYN F (DC)
Entity Type:Individual
Prefix:DR
First Name:CAROLYN
Middle Name:F
Last Name:CLAUSS
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:PO BOX 3046
Mailing Address - Street 2:
Mailing Address - City:PLATTSBURGH
Mailing Address - State:NY
Mailing Address - Zip Code:12901-0298
Mailing Address - Country:US
Mailing Address - Phone:518-561-6004
Mailing Address - Fax:518-561-0357
Practice Address - Street 1:1942 MILITARY TPKE
Practice Address - Street 2:
Practice Address - City:PLATTSBURGH
Practice Address - State:NY
Practice Address - Zip Code:12901-7375
Practice Address - Country:US
Practice Address - Phone:518-561-6004
Practice Address - Fax:518-561-0357
Is Sole Proprietor?:No
Enumeration Date:2006-10-18
Last Update Date:2010-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX005051-1111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
T26744Medicare UPIN
RA8947Medicare ID - Type Unspecified