Provider Demographics
NPI:1730275058
Name:FAIRFIELD, KAREN A (DC)
Entity type:Individual
Prefix:DR
First Name:KAREN
Middle Name:A
Last Name:FAIRFIELD
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 1:8809 EAST OAK ISLAND DRIVE
Mailing Address - Street 2:
Mailing Address - City:OAK ISLAND
Mailing Address - State:NC
Mailing Address - Zip Code:28465
Mailing Address - Country:US
Mailing Address - Phone:910-278-5877
Mailing Address - Fax:910-278-5891
Practice Address - Street 1:8809 EAST OAK ISLAND DRIVE
Practice Address - Street 2:
Practice Address - City:OAK ISLAND
Practice Address - State:NC
Practice Address - Zip Code:28465
Practice Address - Country:US
Practice Address - Phone:910-278-5877
Practice Address - Fax:910-278-5891
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2921111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC085AJOtherBCBS
2348399Medicare ID - Type Unspecified
U95088Medicare UPIN
NC085AJOtherBCBS