Provider Demographics
NPI:1154591592
Name:KARL R. HARER CHIROPRACTIC, INCORPORATED
Entity type:Organization
Organization Name:KARL R. HARER CHIROPRACTIC, INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/ OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KARL
Authorized Official - Middle Name:R
Authorized Official - Last Name:HARER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:805-650-5929
Mailing Address - Street 1:4517 MARKET ST
Mailing Address - Street 2:SUITE 1
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93003-7710
Mailing Address - Country:US
Mailing Address - Phone:805-650-5929
Mailing Address - Fax:805-650-5947
Practice Address - Street 1:4517 MARKET ST
Practice Address - Street 2:SUITE 1
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93003-7710
Practice Address - Country:US
Practice Address - Phone:805-650-5929
Practice Address - Fax:805-650-5947
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-29
Last Update Date:2008-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA17899111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty