Provider Demographics
NPI:1497840193
Name:STROUPE, VALERIE ANN (DC)
Entity Type:Individual
Prefix:MRS
First Name:VALERIE
Middle Name:ANN
Last Name:STROUPE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:MISS
Other - First Name:VALERIE
Other - Middle Name:ANN
Other - Last Name:D'OTTAVIO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2021 RAMBLING ROAD
Mailing Address - Street 2:
Mailing Address - City:KALAMAZOO
Mailing Address - State:MI
Mailing Address - Zip Code:49008
Mailing Address - Country:US
Mailing Address - Phone:412-681-4747
Mailing Address - Fax:412-681-1684
Practice Address - Street 1:2021 RAMBLING ROAD
Practice Address - Street 2:
Practice Address - City:KALAMAZOO
Practice Address - State:MI
Practice Address - Zip Code:49008
Practice Address - Country:US
Practice Address - Phone:269-381-1800
Practice Address - Fax:412-681-1684
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2022-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC009782111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1953125OtherBLUE SHIELD
PA1019224800001Medicaid