Healthcare Provider Details

I. General information

NPI: 1215295464
Provider Name (Legal Business Name): KRAUSHAR CHIROPRACTIC AND ACUPUNCTURE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/25/2012
Last Update Date: 04/25/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

411 S 2ND ST SUITE 1
ABERDEEN SD
57401-4187
US

IV. Provider business mailing address

411 S 2ND ST SUITE 1
ABERDEEN SD
57401-4187
US

V. Phone/Fax

Practice location:
  • Phone: 605-225-8090
  • Fax: 605-622-2108
Mailing address:
  • Phone: 605-225-8090
  • Fax: 605-622-2108

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State

VIII. Authorized Official

Name: DR. HAROLD HENRY KRAUSHAR
Title or Position: CHIROPRACTOR
Credential: D.C.
Phone: 605-225-8090