Provider Demographics
NPI:1144392754
Name:STRAWNIAK, KRISTINE L (DC)
Entity type:Individual
Prefix:DR
First Name:KRISTINE
Middle Name:L
Last Name:STRAWNIAK
Suffix:
Gender:F
Credentials:DC
Other - Prefix:MRS
Other - First Name:KRISTINE
Other - Middle Name:L
Other - Last Name:STRAWNIAK-LOUTH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 461
Mailing Address - Street 2:
Mailing Address - City:SAINT HENRY
Mailing Address - State:OH
Mailing Address - Zip Code:45883-0461
Mailing Address - Country:US
Mailing Address - Phone:419-763-1197
Mailing Address - Fax:419-763-1173
Practice Address - Street 1:PO BOX 461
Practice Address - Street 2:
Practice Address - City:SAINT HENRY
Practice Address - State:OH
Practice Address - Zip Code:45883-0461
Practice Address - Country:US
Practice Address - Phone:419-763-1197
Practice Address - Fax:419-763-1173
Is Sole Proprietor?:No
Enumeration Date:2006-11-15
Last Update Date:2025-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3291111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000251560OtherANTHEM BCBS
OH2373677Medicaid
OH75308276500OtherBWC PROVIDER ID
OH1326110958OtherBUSINESS NPI
OH000000251560OtherANTHEM BCBS