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NPI Code Detail

MEDICARE: MR. JAMES HAY STROUPE DC

MEDICARE: MR. JAMES HAY STROUPE DC
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
1111N00000XChiropractorDC009781PA
2111N00000XChiropractor2301009443MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11951189OTHERPAHIGHMARK BLUE SHIELD
211724695OTHERPACAQH

General Provider Information

NPI Number : 1407941180
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JAMES HAY STROUPE DC
Provider Business Mailing Address
First Line : 2021 RAMBLING RD
Second Line :
City : KALAMAZOO
State : MI
Zip : 49008-1630
Country : US
Telephone Number : 269-381-1800
Fax Number : 269-381-6018
Provider Business Practice Location Address
First Line : 2021 RAMBLING RD
Second Line :
City : KALAMAZOO
State : MI
Zip : 49008-1630
Country : US
Telephone Number : 269-381-1800
Fax Number : 269-381-6018
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/04/2006
Last Update Date : 06/23/2021

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