MEDICARE: KRUEGER CHIROPRACTIC PLLC

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	CH 60252808	WA

General Provider Information

NPI Number	:	1306230289
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KRUEGER CHIROPRACTIC PLLC

Provider Business Mailing Address
First Line	:	100 VALLEY MALL PKWY
Second Line	:	STE 5
City	:	EAST WENATCHEE
State	:	WA
Zip	:	98802-5348
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 VALLEY MALL PKWY
Second Line	:	STE 5
City	:	EAST WENATCHEE
State	:	WA
Zip	:	98802-5348
Country	:	US
Telephone Number	:	509-888-6977
Fax Number	:

Authorized Official
Title or Position	:	OWNER/MEMBER
Name	:	DR. CHRISTOPHER KRUEGER
Credential	:	D.C.
Telephone Number	:	509-888-6977

Provider Enumeration Date	:	03/27/2015
Last Update Date	:	03/27/2015

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