MEDICARE: KATHLEEN M STRAUSS DC PC

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	38MC00271800	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1154469492
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KATHLEEN M STRAUSS DC PC

Provider Business Mailing Address
First Line	:	238 OCEAN AVENUE NORTH
Second Line	:
City	:	LONG BRANCH
State	:	NJ
Zip	:	07740-7581
Country	:	US
Telephone Number	:	732-229-2228
Fax Number	:	732-229-1243

Provider Business Practice Location Address
First Line	:	238 OCEAN AVENUE NORTH
Second Line	:
City	:	LONG BRANCH
State	:	NJ
Zip	:	07740-7581
Country	:	US
Telephone Number	:	732-229-2228
Fax Number	:	732-229-1243

Authorized Official
Title or Position	:	PRESIDENT
Name	:	KATHLEEN M STRAUSS
Credential	:	DC
Telephone Number	:	732-229-2228

Provider Enumeration Date	:	02/01/2007
Last Update Date	:	09/26/2007

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