Provider Demographics
NPI:1114911849
Name:NYHUS, KRISTINA S (DC)
Entity Type:Individual
Prefix:DR
First Name:KRISTINA
Middle Name:S
Last Name:NYHUS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:109 BAY ST
Mailing Address - Street 2:
Mailing Address - City:CHIPPEWA FALLS
Mailing Address - State:WI
Mailing Address - Zip Code:54729-2439
Mailing Address - Country:US
Mailing Address - Phone:715-723-3250
Mailing Address - Fax:
Practice Address - Street 1:109 BAY ST
Practice Address - Street 2:
Practice Address - City:CHIPPEWA FALLS
Practice Address - State:WI
Practice Address - Zip Code:54729-2439
Practice Address - Country:US
Practice Address - Phone:715-723-3250
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI3535-012111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI38911600Medicaid
WIU75388Medicare UPIN