Provider Demographics
NPI:1073664876
Name:KAPLAN, HARRIETT ANN (DC)
Entity Type:Individual
Prefix:
First Name:HARRIETT
Middle Name:ANN
Last Name:KAPLAN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 CRAWFORD CT
Mailing Address - Street 2:
Mailing Address - City:SANTA ROSA
Mailing Address - State:CA
Mailing Address - Zip Code:95401-4305
Mailing Address - Country:US
Mailing Address - Phone:707-577-8113
Mailing Address - Fax:707-579-9272
Practice Address - Street 1:24 CRAWFORD CT
Practice Address - Street 2:
Practice Address - City:SANTA ROSA
Practice Address - State:CA
Practice Address - Zip Code:95401-4305
Practice Address - Country:US
Practice Address - Phone:707-577-8113
Practice Address - Fax:707-579-9272
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA19172111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC0191720Medicare ID - Type Unspecified