Kruse Chiropractic, LLC
Chiropractor in Waterloo, IL. Organization (NPI-2).
NPI number1023488293
StatusActive
Last updated in NPPESOct 1, 2015
Details
- NPI
- 1023488293
- Entity type
- Organization (NPI-2)
- Legal business name
- Kruse Chiropractic, LLC
- Organization subpart
- No
- Enumeration date
- Oct 1, 2015
- Last updated
- Oct 1, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | – | – | Yes |
Practice location
208 E Mill StWaterloo, IL 62298-1519
Phone 618-410-2855
Mailing address
208 E Mill StWaterloo, IL 62298-1519
Authorized official
Emily Michele Kruse
Manager
6184102855
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