Provider Demographics
NPI:1316040371
Name:KROGSGAARD, HANNE (DC)
Entity Type:Individual
Prefix:
First Name:HANNE
Middle Name:
Last Name:KROGSGAARD
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 1:21 WINHAM ST
Mailing Address - Street 2:
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93901-3314
Mailing Address - Country:US
Mailing Address - Phone:831-422-9202
Mailing Address - Fax:
Practice Address - Street 1:21 WINHAM ST
Practice Address - Street 2:
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93901-3314
Practice Address - Country:US
Practice Address - Phone:831-422-9202
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA21394111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC0213940Medicare ID - Type Unspecified