Jon R. Krutak is a Chiropractor in Kingsport, Tennessee. Jon R. Krutak practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Jon R. Krutak is 1033177365. The last update date is 2008-03-11.
Jon R. Krutak's current location address is 4924 Fort Henry Dr, Kingsport, Tennessee. You can contact this provider via phone number 4232397340 and fax number 4232397452. The mailing address for Jon R. Krutak is 4924 Fort Henry Dr, Kingsport, Tennessee. To know further, please read the information below!
Provider Profile Detail
Provider Name | Jon R. Krutak |
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Address | 4924 Fort Henry Dr, Kingsport, Tennessee |
Phone Number | 4232397340 |
Fax Number | 4232397452 |
Sole Proprietor | Y |
Credentials | D.C. |
NPI Number Detail
NPI Number | 1033177365 |
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Provider Enumeration Date | 2006-05-03 |
Last Updated Date | 2008-03-11 |
Provider Mailing Address Detail
Address | 4924 Fort Henry Dr |
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City | Kingsport |
State | Tennessee (TN) |
Post Code | 376633386 |
Phone Number | 4232397340 |
Fax Number | 4232397452 |
Provider's Primary Taxonomy Detail
Speciality | Chiropractor |
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Taxonomy | 111N00000X |
Licence No | DC1096 |
Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
3676970 | TN | -- | |
3058747 | TN | BLUE CROSS BLUE SHIELD | |
TN0102 | TN | UNITED HEALTHCARE | |
P00441207 | TN | RAILROAD MEDICARE | |
TN0104 | TN | JOHN DEERE | |
4324698 | TN | CIGNA |
Post Comment/ Review Below
What is the Jon R. Krutak's 1033177365?
The Jon R. Krutak's NPI (National Provider Identifier) Number is 1033177365. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Jon R. Krutak?
The Jon R. Krutak is situated at 4924 Fort Henry Dr, in the city of Kingsport, state of TN, with the zip code 376633386.
What is Jon R. Krutak's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Jon R. Krutak is Chiropractor, and the taxonomy classification code that categorizes this area of expertise is 111N00000X.
On what date did the Jon R. Krutak receive its 1033177365 assignment from the Centers for Medicare & Medicaid Services?
The Jon R. Krutak was assigned its 1033177365 by the Centers for Medicare & Medicaid Services on 2006-05-03.
When was the Jon R. Krutak's information last updated?
The Jon R. Krutak's information was last updated on 2008-03-11.
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