MEDICARE: CHRISTOPHER JAMES KROLL LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	3422	WI

General Provider Information

NPI Number	:	1255490108
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHRISTOPHER JAMES KROLL LLC

Provider Business Mailing Address
First Line	:	125A E PINE ST
Second Line	:
City	:	LAKE MILLS
State	:	WI
Zip	:	53551-1103
Country	:	US
Telephone Number	:	920-648-6466
Fax Number	:

Provider Business Practice Location Address
First Line	:	125A E PINE ST
Second Line	:
City	:	LAKE MILLS
State	:	WI
Zip	:	53551-1103
Country	:	US
Telephone Number	:	920-648-6466
Fax Number	:

Authorized Official
Title or Position	:	DC/OWNER
Name	:	CHRISTOPHER JAMES KROLL
Credential	:
Telephone Number	:	920-648-6466

Provider Enumeration Date	:	12/06/2006
Last Update Date	:	12/30/2025

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Directions to “CHRISTOPHER JAMES KROLL LLC ” Practice Location

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