Provider Demographics
NPI:1922316454
Name:KARE CHIROPRACTIC INC
Entity Type:Organization
Organization Name:KARE CHIROPRACTIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:PAM
Authorized Official - Middle Name:A
Authorized Official - Last Name:MAKAREWICZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:636-352-9406
Mailing Address - Street 1:3899 MID RIVERS MALL DR
Mailing Address - Street 2:
Mailing Address - City:SAINT PETERS
Mailing Address - State:MO
Mailing Address - Zip Code:63376-2870
Mailing Address - Country:US
Mailing Address - Phone:636-936-3613
Mailing Address - Fax:636-936-8069
Practice Address - Street 1:3899 MID RIVERS MALL DR
Practice Address - Street 2:
Practice Address - City:SAINT PETERS
Practice Address - State:MO
Practice Address - Zip Code:63376-2870
Practice Address - Country:US
Practice Address - Phone:636-936-3613
Practice Address - Fax:636-936-8069
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-17
Last Update Date:2010-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO006217111NI0013X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NI0013XChiropractic ProvidersChiropractorIndependent Medical ExaminerGroup - Single Specialty