Krupke Chiropractic PLLC
Organization Active NPI Health Maintenance Organization · New London, MN
NPI 1700239001 · NPPES record last updated Jul 21, 2016
Key facts
- NPI
- 1700239001
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Health Maintenance Organization 302R00000X
- License
- 111N00000X (MN)
- Legal business name
- KRUPKE CHIROPRACTIC PLLC
- Practice address
- 17266 Highway 23 NE Ste 101
New London, MN 56273-7816 - Phone
- (320) 354-4793
- Fax
- (320) 354-4585
- NPI assigned
- Jul 21, 2016
- Organization subpart
- No
Authorized official
- Name
- Dr. Brett N Krupke, DC
- Title
- Chiropractor
- Phone
- (320) 354-4793
Practitioners 3
-
Brett Nathan Krupke, D.C.
-
Donald Michael Zieske, D.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20161114000579 | MN | Part B Supplier - Clinic/Group Practice | 8729367834 |
Receives reassigned benefits from 1 practitioner Practice locations: New London, MN |
National Provider Directory
Locations
17266 Highway 23 NE
Ste 101
New London, MN 56273
Phone (320) 354-4793
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Maintenance Organization | 302R00000X | 111N00000X | MN | Yes |
Addresses
Primary practice location
17266 Highway 23 NE Ste 101
New London, MN 56273-7816
Mailing address
PO Box 99
New London, MN 56273-0099
Phone (320) 354-4793
Other providers in New London, MN
- Nicholas Goelz
- Megan Anastasia Grimsley
- Grace Catherine Illies
- Independent School District 345
- Katelyn Corine Krueger
- Brett Nathan Krupke
- Kwo 5 Star, Inc
- Living Services Foundation New London LLC
- Living Services Foundation/ New London LLC
- Living Services Foundation/New London, LLC
All providers in New London, MN · Health Maintenance Organization in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.