Provider Demographics
NPI:1891734653
Name:FISCHER, KAREN A (DC)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:A
Last Name:FISCHER
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 1:75 S SHORE DR
Mailing Address - Street 2:
Mailing Address - City:WANTAGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07461-1335
Mailing Address - Country:US
Mailing Address - Phone:973-875-8221
Mailing Address - Fax:
Practice Address - Street 1:675 BROADWAY
Practice Address - Street 2:
Practice Address - City:PATERSON
Practice Address - State:NJ
Practice Address - Zip Code:07514-1444
Practice Address - Country:US
Practice Address - Phone:973-225-0500
Practice Address - Fax:973-742-2993
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00492800111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ38MC00492800OtherNJ STATE LICENSE
NJ38MC00492800OtherNJ STATE LICENSE