Provider Demographics
NPI:1154384550
Name:NEAR, KAREN S (DC)
Entity type:Individual
Prefix:DR
First Name:KAREN
Middle Name:S
Last Name:NEAR
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 1:10 FARM CIRCLE
Mailing Address - Street 2:
Mailing Address - City:MOHNTON
Mailing Address - State:PA
Mailing Address - Zip Code:19540
Mailing Address - Country:US
Mailing Address - Phone:610-670-7555
Mailing Address - Fax:610-670-7808
Practice Address - Street 1:2913 WINDMILL RD
Practice Address - Street 2:STE 1
Practice Address - City:SINKING SPRING
Practice Address - State:PA
Practice Address - Zip Code:19608
Practice Address - Country:US
Practice Address - Phone:610-670-7555
Practice Address - Fax:610-670-7808
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC003283L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA01521701OtherCAPITAL BLUE CROSS
PA02518900OtherCAPITAL BLUE CROSS
PA01521701OtherCAPITAL BLUE CROSS