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NPI Code Detail

MEDICARE: ERIN KRUMENACKER

MEDICARE: ERIN KRUMENACKER
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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1699128579
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIN KRUMENACKER
Provider Business Mailing Address
First Line : 6627 ROSE ST
Second Line :
City : CASS CITY
State : MI
Zip : 48726-1262
Country : US
Telephone Number : 989-872-1800
Fax Number :
Provider Business Practice Location Address
First Line : 6627 ROSE ST
Second Line :
City : CASS CITY
State : MI
Zip : 48726-1262
Country : US
Telephone Number : 989-872-1800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/15/2016
Last Update Date : 03/11/2025

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Directions to “ ERIN KRUMENACKER ” Practice Location

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