Provider Demographics
NPI:1568492031
Name:VANWIE, KAREN S (DC)
Entity type:Individual
Prefix:DR
First Name:KAREN
Middle Name:S
Last Name:VANWIE
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 1:41 5 MILE WOODS RD
Mailing Address - Street 2:
Mailing Address - City:CATSKILL
Mailing Address - State:NY
Mailing Address - Zip Code:12414-5921
Mailing Address - Country:US
Mailing Address - Phone:518-943-9454
Mailing Address - Fax:518-943-0623
Practice Address - Street 1:41 5 MILE WOODS RD
Practice Address - Street 2:
Practice Address - City:CATSKILL
Practice Address - State:NY
Practice Address - Zip Code:12414-5921
Practice Address - Country:US
Practice Address - Phone:518-943-9454
Practice Address - Fax:518-943-0623
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2008-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX005260-1111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYX29921Medicare PIN