MEDICARE: JAMES CARL KREGER 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
1	111N00000X	Chiropractor	995	OH

General Provider Information

NPI Number	:	1578559316
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES CARL KREGER DC

Provider Business Mailing Address
First Line	:	7584 KINGS POINTE RD
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43617-1557
Country	:	US
Telephone Number	:	419-841-4207
Fax Number	:	419-841-4312

Provider Business Practice Location Address
First Line	:	3231 CENTRAL PARK W
Second Line	:	SUITE 110
City	:	TOLEDO
State	:	OH
Zip	:	43617-3008
Country	:	US
Telephone Number	:	419-841-4207
Fax Number	:	419-841-4312

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/27/2005
Last Update Date	:	09/16/2019

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