Provider Demographics
NPI:1013912419
Name:KRAUS, MICHAEL E (DC)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:E
Last Name:KRAUS
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 1:2027 VILLAGE LN
Mailing Address - Street 2:STE 202
Mailing Address - City:SOLVANG
Mailing Address - State:CA
Mailing Address - Zip Code:93463-2277
Mailing Address - Country:US
Mailing Address - Phone:805-688-9426
Mailing Address - Fax:805-688-2076
Practice Address - Street 1:2027 VILLAGE LN
Practice Address - Street 2:STE 202
Practice Address - City:SOLVANG
Practice Address - State:CA
Practice Address - Zip Code:93463-2277
Practice Address - Country:US
Practice Address - Phone:805-688-9426
Practice Address - Fax:805-688-2076
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC14115111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAT17698Medicare UPIN
CADC14115Medicare ID - Type Unspecified