Provider Demographics
NPI:1508746322
Name:SPECTRUM HEALTH AND PAIN
Entity type:Organization
Organization Name:SPECTRUM HEALTH AND PAIN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIRORPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:AUSTIN
Authorized Official - Middle Name:JM
Authorized Official - Last Name:KARP
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:916-929-8155
Mailing Address - Street 1:2893 SUNRISE BLVD STE 105
Mailing Address - Street 2:
Mailing Address - City:RANCHO CORDOVA
Mailing Address - State:CA
Mailing Address - Zip Code:95742-6527
Mailing Address - Country:US
Mailing Address - Phone:916-929-8155
Mailing Address - Fax:916-929-8152
Practice Address - Street 1:2893 SUNRISE BLVD STE 105
Practice Address - Street 2:
Practice Address - City:RANCHO CORDOVA
Practice Address - State:CA
Practice Address - Zip Code:95742-6527
Practice Address - Country:US
Practice Address - Phone:916-929-8155
Practice Address - Fax:916-929-8152
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-03
Last Update Date:2025-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NX0100XChiropractic ProvidersChiropractorOccupational HealthGroup - Single Specialty