Provider Demographics
NPI:1932152030
Name:CAREW, KAREN JANE (DC)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:JANE
Last Name:CAREW
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 3709
Mailing Address - Street 2:
Mailing Address - City:IRMO
Mailing Address - State:SC
Mailing Address - Zip Code:29063-4019
Mailing Address - Country:US
Mailing Address - Phone:803-781-4092
Mailing Address - Fax:803-781-2798
Practice Address - Street 1:7453 IRMO DR
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29212-8698
Practice Address - Country:US
Practice Address - Phone:803-781-4092
Practice Address - Fax:803-781-2798
Is Sole Proprietor?:No
Enumeration Date:2006-05-18
Last Update Date:2014-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC2036111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCCH2036Medicaid
SCU611236253Medicare ID - Type Unspecified
U61123Medicare UPIN