Individual
JONATHAN W KRAUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
510 COLUMBIA AVE, SUITE D, CHAPIN, SC 29036-9424
(803) 345-5462
Mailing address
510 COLUMBIA AVENUE, CHAPIN, SC 29036-0895
(803) 345-5462
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1078
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CH1078
—
SC
Enumeration date
05/11/2006
Last updated
01/31/2014
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