Provider Demographics
NPI:1497941561
Name:KRUSE CHIROPRACTIC, PLC
Entity Type:Organization
Organization Name:KRUSE CHIROPRACTIC, PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RUTHANN
Authorized Official - Middle Name:
Authorized Official - Last Name:KRUSE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:480-488-0814
Mailing Address - Street 1:PO BOX 7024
Mailing Address - Street 2:
Mailing Address - City:CAVE CREEK
Mailing Address - State:AZ
Mailing Address - Zip Code:85327-7024
Mailing Address - Country:US
Mailing Address - Phone:480-488-0814
Mailing Address - Fax:480-595-2486
Practice Address - Street 1:7005 E CAVE CREEK RD
Practice Address - Street 2:SUITE 107
Practice Address - City:CAVE CREEK
Practice Address - State:AZ
Practice Address - Zip Code:85331-8631
Practice Address - Country:US
Practice Address - Phone:480-488-0814
Practice Address - Fax:480-595-2486
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-21
Last Update Date:2007-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ7185111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty