Provider Demographics
NPI:1538272638
Name:SHOEMAKER, KAREN (DC)
Entity type:Individual
Prefix:DR
First Name:KAREN
Middle Name:
Last Name:SHOEMAKER
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 1:1228 23RD ST
Mailing Address - Street 2:
Mailing Address - City:BETTENDORF
Mailing Address - State:IA
Mailing Address - Zip Code:52722-4403
Mailing Address - Country:US
Mailing Address - Phone:563-344-0908
Mailing Address - Fax:
Practice Address - Street 1:1228 23RD ST
Practice Address - Street 2:
Practice Address - City:BETTENDORF
Practice Address - State:IA
Practice Address - Zip Code:52722-4403
Practice Address - Country:US
Practice Address - Phone:563-344-0908
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA05777111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN1001XChiropractic ProvidersChiropractorNutrition
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA15921Medicare ID - Type Unspecified