Krouse Chiropractic, LLC
Organization Active NPI Chiropractor · Payne, OH
NPI 1861676645 · NPPES record last updated Jan 8, 2008
Key facts
- NPI
- 1861676645
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 2973 (OH)
- Legal business name
- KROUSE CHIROPRACTIC, LLC
- Practice address
- 110 W. Oak St.
Payne, OH 45880 - Phone
- (419) 263-1393
- Fax
- (419) 263-1393
- NPI assigned
- Dec 28, 2007
- Organization subpart
- No
Authorized official
- Name
- Michael Krouse, D.C.
- Title
- Owner
- Phone
- (419) 263-1393
Practitioners 1
-
Michael D Krouse, DC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080221000360 | OH | Part B Supplier - Clinic/Group Practice | 2466536032 |
Receives reassigned benefits from 1 practitioner Practice locations: Payne, OH |
National Provider Directory
Locations
110 W Oak St
Payne, OH 45880
Phone (419) 263-1393
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 2973 | OH | Yes |
Addresses
Primary practice location
110 W. Oak St.
Payne, OH 45880
Mailing address
110 W. Oak St
Payne, OH 45880
Phone (419) 263-1393
Other providers in Payne, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 8, 2008. 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.