Provider Demographics
NPI:1558455246
Name:KRAUSS, VICTOR BJ (DC)
Entity Type:Individual
Prefix:DR
First Name:VICTOR
Middle Name:BJ
Last Name:KRAUSS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6753 EL CAJON BLVD
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92115-1621
Mailing Address - Country:US
Mailing Address - Phone:619-584-4847
Mailing Address - Fax:619-407-7993
Practice Address - Street 1:6753 EL CAJON BLVD
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92115-1621
Practice Address - Country:US
Practice Address - Phone:619-584-4847
Practice Address - Fax:619-407-7993
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2009-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC23290111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor