Provider Demographics
NPI:1215525258
Name:KARALEWITZ, MARK EDWARD
Entity type:Individual
Prefix:
First Name:MARK
Middle Name:EDWARD
Last Name:KARALEWITZ
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 ASHFIELD ST
Mailing Address - Street 2:
Mailing Address - City:PIEDMONT
Mailing Address - State:WV
Mailing Address - Zip Code:26750-1319
Mailing Address - Country:US
Mailing Address - Phone:304-209-9335
Mailing Address - Fax:
Practice Address - Street 1:105 ASHFIELD ST
Practice Address - Street 2:
Practice Address - City:PIEDMONT
Practice Address - State:WV
Practice Address - Zip Code:26750-1319
Practice Address - Country:US
Practice Address - Phone:304-209-9335
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-05
Last Update Date:2021-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant