Doctor Name: | DR. KAREN MARIE MENNELLA |
NPI Number: | 1932483070 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DC |
License Number: | 38MC00372700 |
Business Practice Address: | 318 21st Ave Paterson, NJ - 075013538 |
Business Phone Number: | 9733457777 |
Business Fax Number: | 9733452525 |
Mailing Address: | 29 Snyder Dr, WHARTON |
State: | NJ |
Postal Code: | 078852836 |
Phone Number: | 9739837686 |
Fax Number: | |
NPI Enumeration Date: | 10/07/2011 |
NPI Last Update Date: | 10/07/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 38MC00372700 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |