Provider Demographics
NPI:1568520393
Name:KRAUSE, PAUL H (DC)
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:H
Last Name:KRAUSE
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 1:9716 NE JUANITA DR
Mailing Address - Street 2:
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98034-4202
Mailing Address - Country:US
Mailing Address - Phone:425-823-5333
Mailing Address - Fax:425-823-6333
Practice Address - Street 1:9716 NE JUANITA DR
Practice Address - Street 2:
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98034-4202
Practice Address - Country:US
Practice Address - Phone:425-823-5333
Practice Address - Fax:425-823-6333
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-05
Last Update Date:2009-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00003127111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAG8802652Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER
WAKR3707Medicare UPIN