Provider Demographics
NPI:1437467164
Name:KROHN, MICHAELA (DC)
Entity Type:Individual
Prefix:DR
First Name:MICHAELA
Middle Name:
Last Name:KROHN
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 1:459 FARMERS LOOP RD
Mailing Address - Street 2:
Mailing Address - City:FAIRBANKS
Mailing Address - State:AK
Mailing Address - Zip Code:99712-1406
Mailing Address - Country:US
Mailing Address - Phone:907-456-1571
Mailing Address - Fax:907-456-1581
Practice Address - Street 1:459 FARMERS LOOP RD
Practice Address - Street 2:
Practice Address - City:FAIRBANKS
Practice Address - State:AK
Practice Address - Zip Code:99712-1406
Practice Address - Country:US
Practice Address - Phone:907-456-1571
Practice Address - Fax:907-456-1581
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-15
Last Update Date:2010-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK520111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor