Provider Demographics
NPI:1215931241
Name:BAKERIS, KARI A (DC)
Entity type:Individual
Prefix:
First Name:KARI
Middle Name:A
Last Name:BAKERIS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:KARI
Other - Middle Name:A
Other - Last Name:CHILBERG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:2411 CORAL CT
Mailing Address - Street 2:STE 3
Mailing Address - City:CORALVILLE
Mailing Address - State:IA
Mailing Address - Zip Code:52241-2878
Mailing Address - Country:US
Mailing Address - Phone:319-545-4444
Mailing Address - Fax:319-545-4445
Practice Address - Street 1:2411 CORAL CT
Practice Address - Street 2:STE 3
Practice Address - City:CORALVILLE
Practice Address - State:IA
Practice Address - Zip Code:52241-2878
Practice Address - Country:US
Practice Address - Phone:319-545-4444
Practice Address - Fax:319-545-4445
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA06627111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0295956Medicaid
IA35343OtherBCBS
IA0295956Medicaid
IAI10662Medicare ID - Type Unspecified