Stephanie Marie Krueger in Omro - Chiropractor
Stephanie Marie Krueger - NPI 1205887700
Stephanie Marie Krueger is a Chiropractor in Omro, Wisconsin. Stephanie Marie Krueger practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Stephanie Marie Krueger is 1205887700. The last update date is 2015-10-05.
Stephanie Marie Krueger's current location address is 4447 Harbor Village Dr, Omro, Wisconsin. You can contact this provider via phone number 9202366000 and fax number 9202366006. The mailing address for Stephanie Marie Krueger is 4447 Harbor Village Dr, Omro, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stephanie Marie Krueger |
|---|---|
| Address | 4447 Harbor Village Dr, Omro, Wisconsin |
| Phone Number | 9202366000 |
| Fax Number | 9202366006 |
| Sole Proprietor | N |
| Credentials | DC |
NPI Number Detail
| NPI Number | 1205887700 |
|---|---|
| Provider Enumeration Date | 2006-05-12 |
| Last Updated Date | 2015-10-05 |
Provider Mailing Address Detail
| Address | 4447 Harbor Village Dr |
|---|---|
| City | Omro |
| State | Wisconsin (WI) |
| Post Code | 549638229 |
| Phone Number | 9202366000 |
| Fax Number | 9202366006 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 4212-012 |
|
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 |
|---|---|---|---|
| 38978400 | WI | -- |
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What is the unique identification code assigned to Stephanie Marie Krueger by the Centers for Medicare & Medicaid Services?
The Stephanie Marie Krueger has been issued the NPI (National Provider Identifier) 1205887700. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Stephanie Marie Krueger's facilities are geographically located?
The facilities of Stephanie Marie Krueger are physically situated at the following location: 4447 Harbor Village Dr, Omro, WI, 549638229.
What is Stephanie Marie Krueger's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Stephanie Marie Krueger is Chiropractor, and the taxonomy code that classifies this field of practice is 111N00000X.
On what date did Stephanie Marie Krueger receive its 1205887700 assignment from the Centers for Medicare & Medicaid Services?
The Stephanie Marie Krueger was assigned its 1205887700 on 2006-05-12, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Stephanie Marie Krueger's information last updated?
The Stephanie Marie Krueger's information was last updated on 2015-10-05.
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