Provider Demographics
NPI:1497114110
Name:CRUTE, LINZIE SUZANNE (DC)
Entity Type:Individual
Prefix:MRS
First Name:LINZIE
Middle Name:SUZANNE
Last Name:CRUTE
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 1:3050 SEARS RD
Mailing Address - Street 2:
Mailing Address - City:SPRING VALLEY
Mailing Address - State:OH
Mailing Address - Zip Code:45370-7726
Mailing Address - Country:US
Mailing Address - Phone:937-479-7930
Mailing Address - Fax:
Practice Address - Street 1:1204 E DOROTHY LN
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45419-2111
Practice Address - Country:US
Practice Address - Phone:937-479-7930
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-02-23
Last Update Date:2019-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH04853111N00000X
NC4626111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor