Individual
INGRID M KRUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
1021 MARTIN ST S, PELL CITY, AL 35128-2360
(205) 338-4545
(205) 338-4553
Mailing address
1021 MARTIN ST S, PELL CITY, AL 35128-2360
(205) 405-6099
(205) 338-4553
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2037
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
331133195
AETNA
AL
01
—
51534992
BCBS OF ALABAMA
AL
01
—
51534995
BCBS OF ALABAMA
AL
Enumeration date
10/25/2005
Last updated
12/28/2009
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