1144392754 NPI number — DR. KRISTINE L STRAWNIAK D.C.

Table of content: DR. KRISTINE L STRAWNIAK D.C. (NPI 1144392754)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1144392754 NPI number — DR. KRISTINE L STRAWNIAK D.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
STRAWNIAK
Provider First Name:
KRISTINE
Provider Middle Name:
L
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
D.C.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
STRAWNIAK-LOUTH
Provider Other First Name:
KRISTINE
Provider Other Middle Name:
L
Provider Other Name Prefix Text:
MRS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1144392754
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/06/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 461
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SAINT HENRY
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
45883-0461
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
419-763-1197
Provider Business Mailing Address Fax Number:
419-763-1173

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
PO BOX 461
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SAINT HENRY
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
45883-0461
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
419-763-1197
Provider Business Practice Location Address Fax Number:
419-763-1173
Provider Enumeration Date:
11/15/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 111N00000X , with the licence number:  3291 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 000000251560 . This is a "ANTHEM BCBS" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: 2373677 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".
  • Identifier: 75308276500 . This is a "BWC PROVIDER ID" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: 1326110958 . This is a "BUSINESS NPI" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".




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