Provider Demographics
NPI:1316110018
Name:QUASCHNICK, KARI JO (DC)
Entity type:Individual
Prefix:DR
First Name:KARI
Middle Name:JO
Last Name:QUASCHNICK
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 1:1220 MOUNT RUSHMORE RD
Mailing Address - Street 2:SUITE 1
Mailing Address - City:RAPID CITY
Mailing Address - State:SD
Mailing Address - Zip Code:57701-8263
Mailing Address - Country:US
Mailing Address - Phone:605-341-7500
Mailing Address - Fax:605-341-7903
Practice Address - Street 1:1220 MOUNT RUSHMORE RD
Practice Address - Street 2:SUITE 1
Practice Address - City:RAPID CITY
Practice Address - State:SD
Practice Address - Zip Code:57701-8263
Practice Address - Country:US
Practice Address - Phone:605-341-7500
Practice Address - Fax:605-341-7903
Is Sole Proprietor?:No
Enumeration Date:2008-04-02
Last Update Date:2014-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO6205111N00000X
NE1594111N00000X
SD1160111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE10025803900Medicaid
SD7605140Medicaid
SDS41557Medicare PIN