Provider Demographics
NPI:1043866270
Name:BISCHOFF, KAREN T
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:T
Last Name:BISCHOFF
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5627 RIVERSIDE DR
Mailing Address - Street 2:
Mailing Address - City:SUGAR HILL
Mailing Address - State:GA
Mailing Address - Zip Code:30518-6319
Mailing Address - Country:US
Mailing Address - Phone:770-271-9822
Mailing Address - Fax:
Practice Address - Street 1:5627 RIVERSIDE DR
Practice Address - Street 2:
Practice Address - City:SUGAR HILL
Practice Address - State:GA
Practice Address - Zip Code:30518-6319
Practice Address - Country:US
Practice Address - Phone:770-271-9822
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-13
Last Update Date:2019-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider