Provider Demographics
NPI:1316949175
Name:RIZZO, KAREN LYNN (DC)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:LYNN
Last Name:RIZZO
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 1:401 HARMONY RD
Mailing Address - Street 2:SUITE 25
Mailing Address - City:GIBBSTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:08027-1723
Mailing Address - Country:US
Mailing Address - Phone:856-224-0300
Mailing Address - Fax:856-224-1412
Practice Address - Street 1:401 HARMONY RD
Practice Address - Street 2:SUITE 25
Practice Address - City:GIBBSTOWN
Practice Address - State:NJ
Practice Address - Zip Code:08027-1723
Practice Address - Country:US
Practice Address - Phone:856-224-0300
Practice Address - Fax:856-224-1412
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-11
Last Update Date:2009-07-16
Deactivation Date:2006-03-22
Deactivation Code:
Reactivation Date:2006-03-28
Provider Licenses
StateLicense IDTaxonomies
PADC005230L111N00000X
NJ38MC00434800111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0817029000OtherAMERIHEALTH
NJ7256108Medicaid
NJ1846558OtherUNITED HEALTH CARE
NJ66952316OtherCIGNA
NJ556957OtherAETNA USHC
NJ223388183OtherHORIZON
NJ7256108Medicaid