Provider Demographics
NPI:1093785834
Name:CLAUSE, DENNIS E (DC)
Entity Type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:E
Last Name:CLAUSE
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 1:4533 NORTHRIDGE FARMS
Mailing Address - Street 2:
Mailing Address - City:CRESTWOOD
Mailing Address - State:KY
Mailing Address - Zip Code:40014
Mailing Address - Country:US
Mailing Address - Phone:502-333-4740
Mailing Address - Fax:
Practice Address - Street 1:1939 GOLDSMITH LN
Practice Address - Street 2:SUITE 130
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40218-2006
Practice Address - Country:US
Practice Address - Phone:502-333-4740
Practice Address - Fax:502-448-2215
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-24
Last Update Date:2012-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY5166111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor