Provider Demographics
NPI:1679552285
Name:KARAS, JEFFREY BRUCE (DC)
Entity type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:BRUCE
Last Name:KARAS
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 1:3308 W ESPLANADE AVE N
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70002-1652
Mailing Address - Country:US
Mailing Address - Phone:504-835-7901
Mailing Address - Fax:504-833-1706
Practice Address - Street 1:3308 W ESPLANADE AVE N
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70002-1652
Practice Address - Country:US
Practice Address - Phone:504-835-7901
Practice Address - Fax:504-833-1706
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-11
Last Update Date:2010-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA193111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA0095137Medicaid
59146Medicare ID - Type Unspecified
T19948Medicare UPIN