Individual
DR. ELLEN BUERGER KRUMME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
5770 GATEWAY, SUITE103, MASON, OH 45040-1897
(513) 204-0050
(513) 204-7960
Mailing address
5770 GATEWAY, SUITE103, MASON, OH 45040-1897
(513) 204-0050
(513) 204-7960
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2119
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0173128
—
OH
01
—
311500239026
CARE SOURCE
OH
01
—
ANTHEM BCBS
000000380597
OH
01
—
UNITED HEATHCARE
311500239
OH
Enumeration date
07/31/2006
Last updated
08/01/2012
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