Provider Demographics
NPI:1912098724
Name:CHARAP, ALICE KORINS (DC)
Entity Type:Individual
Prefix:
First Name:ALICE
Middle Name:KORINS
Last Name:CHARAP
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 1:2191 MARKET ST
Mailing Address - Street 2:STE D
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94114-4314
Mailing Address - Country:US
Mailing Address - Phone:415-863-4424
Mailing Address - Fax:415-863-0168
Practice Address - Street 1:2191 MARKET ST
Practice Address - Street 2:STE D
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94114-4314
Practice Address - Country:US
Practice Address - Phone:415-863-4424
Practice Address - Fax:415-863-0168
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2017-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA11875111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor