Provider Demographics
NPI:1245578814
Name:FRITTS, GARRETSON VANBUREN (DC)
Entity Type:Individual
Prefix:DR
First Name:GARRETSON
Middle Name:VANBUREN
Last Name:FRITTS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:557 WALLER ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94117-3330
Mailing Address - Country:US
Mailing Address - Phone:415-572-7137
Mailing Address - Fax:
Practice Address - Street 1:557 WALLER ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94117-3330
Practice Address - Country:US
Practice Address - Phone:415-572-7137
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-16
Last Update Date:2013-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA31649111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor