Provider Demographics
NPI:1396701736
Name:MAY, KAREN ELIZABETH (DC)
Entity type:Individual
Prefix:DR
First Name:KAREN
Middle Name:ELIZABETH
Last Name:MAY
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:PO BOX 401
Mailing Address - Street 2:
Mailing Address - City:MASON
Mailing Address - State:MI
Mailing Address - Zip Code:48854-0401
Mailing Address - Country:US
Mailing Address - Phone:517-676-7112
Mailing Address - Fax:517-676-7155
Practice Address - Street 1:801 S CEDAR ST
Practice Address - Street 2:
Practice Address - City:MASON
Practice Address - State:MI
Practice Address - Zip Code:48854-2084
Practice Address - Country:US
Practice Address - Phone:517-676-7112
Practice Address - Fax:517-676-7155
Is Sole Proprietor?:No
Enumeration Date:2006-04-25
Last Update Date:2013-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301008793111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI44-00209OtherPHYSICIAN HEALTH PLAN MI
MI0B31023OtherBCBS OF MICHIGAN
MI0B31023OtherBCBS OF MICHIGAN
MI0N33190006Medicare ID - Type Unspecified