Provider Demographics
NPI:1962590042
Name:CURT A KRAUSE DC PC
Entity type:Organization
Organization Name:CURT A KRAUSE DC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CURT
Authorized Official - Middle Name:A
Authorized Official - Last Name:KRAUSE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:816-520-5511
Mailing Address - Street 1:12500 E US HIGHWAY 40
Mailing Address - Street 2:SUITE K
Mailing Address - City:INDEPENDENCE
Mailing Address - State:MO
Mailing Address - Zip Code:64055-5928
Mailing Address - Country:US
Mailing Address - Phone:816-520-5511
Mailing Address - Fax:
Practice Address - Street 1:12500 E US HIGHWAY 40
Practice Address - Street 2:SUITE K
Practice Address - City:INDEPENDENCE
Practice Address - State:MO
Practice Address - Zip Code:64055-5928
Practice Address - Country:US
Practice Address - Phone:816-520-5511
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20030022440111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOR480000Medicare ID - Type Unspecified