Provider Demographics
NPI:1730158569
Name:KARNO, GEORGE NICK (DC)
Entity type:Individual
Prefix:
First Name:GEORGE
Middle Name:NICK
Last Name:KARNO
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1203 ROBERT BLVD
Mailing Address - Street 2:
Mailing Address - City:SLIDELL
Mailing Address - State:LA
Mailing Address - Zip Code:70458-2015
Mailing Address - Country:US
Mailing Address - Phone:985-643-6000
Mailing Address - Fax:985-643-6101
Practice Address - Street 1:1203 ROBERT BLVD
Practice Address - Street 2:
Practice Address - City:SLIDELL
Practice Address - State:LA
Practice Address - Zip Code:70458-2015
Practice Address - Country:US
Practice Address - Phone:985-643-6000
Practice Address - Fax:985-643-6101
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-15
Last Update Date:2010-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA659111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA59097CJ11Medicare ID - Type Unspecified