Provider Demographics
NPI:1295874162
Name:KREUSCH, DANIEL R (DC)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:R
Last Name:KREUSCH
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 1:601 1/2 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:ARCANUM
Mailing Address - State:OH
Mailing Address - Zip Code:45304-1401
Mailing Address - Country:US
Mailing Address - Phone:937-692-8570
Mailing Address - Fax:937-692-8570
Practice Address - Street 1:601 HALF NORTH MAIN ST.
Practice Address - Street 2:
Practice Address - City:ARCANUM
Practice Address - State:OH
Practice Address - Zip Code:45304-1401
Practice Address - Country:US
Practice Address - Phone:937-692-8570
Practice Address - Fax:937-692-8570
Is Sole Proprietor?:No
Enumeration Date:2007-02-06
Last Update Date:2018-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1951111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor