Provider Demographics
NPI:1437259496
Name:KRAUSE, VICKIE FRANCINE (DC)
Entity Type:Individual
Prefix:MS
First Name:VICKIE
Middle Name:FRANCINE
Last Name:KRAUSE
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 1:555 2ND AVE
Mailing Address - Street 2:SUITE D-202
Mailing Address - City:COLLEGEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19426-3600
Mailing Address - Country:US
Mailing Address - Phone:610-454-9825
Mailing Address - Fax:610-454-9746
Practice Address - Street 1:555 2ND AVE
Practice Address - Street 2:SUITE D-202
Practice Address - City:COLLEGEVILLE
Practice Address - State:PA
Practice Address - Zip Code:19426-3600
Practice Address - Country:US
Practice Address - Phone:610-454-9825
Practice Address - Fax:610-454-9746
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-22
Last Update Date:2015-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC007850L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAU82420Medicare UPIN
PA043269Medicare ID - Type Unspecified