Provider Demographics
NPI:1124156930
Name:HARTMAN, KAREN (DC)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:HARTMAN
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 1:667 BREVARD RD
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28806-2237
Mailing Address - Country:US
Mailing Address - Phone:828-667-4060
Mailing Address - Fax:828-667-0042
Practice Address - Street 1:667 BREVARD RD
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28806-2237
Practice Address - Country:US
Practice Address - Phone:828-667-4060
Practice Address - Fax:828-667-0042
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-01
Last Update Date:2011-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1565111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC28524OtherBLUE CROSS BLUE SHIELD
350-036620OtherRAILROAD MEDICARE
56-1972740OtherTAX IDENTIFIER
T73875Medicare UPIN
NC244554Medicare PIN