Provider Demographics
NPI:1134222383
Name:THORPE, KAREN M (DC)
Entity type:Individual
Prefix:DR
First Name:KAREN
Middle Name:M
Last Name:THORPE
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 1:2950 PRAIRIE AVE
Mailing Address - Street 2:STE A
Mailing Address - City:BELOIT
Mailing Address - State:WI
Mailing Address - Zip Code:53511-1899
Mailing Address - Country:US
Mailing Address - Phone:608-362-2222
Mailing Address - Fax:608-362-9626
Practice Address - Street 1:2950 PRAIRIE AVE
Practice Address - Street 2:STE A
Practice Address - City:BELOIT
Practice Address - State:WI
Practice Address - Zip Code:53511-1899
Practice Address - Country:US
Practice Address - Phone:608-362-2222
Practice Address - Fax:608-362-9626
Is Sole Proprietor?:No
Enumeration Date:2006-09-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI2646-012111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WIU10099Medicare UPIN
WI75330Medicare ID - Type Unspecified