Provider Demographics
NPI:1346698560
Name:KREMER, NEIL (LAC(ACUPUNCTURIST))
Entity Type:Individual
Prefix:
First Name:NEIL
Middle Name:
Last Name:KREMER
Suffix:
Gender:M
Credentials:LAC(ACUPUNCTURIST)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 241
Mailing Address - Street 2:
Mailing Address - City:EMIGRANT
Mailing Address - State:MT
Mailing Address - Zip Code:59027-0241
Mailing Address - Country:US
Mailing Address - Phone:406-579-8955
Mailing Address - Fax:
Practice Address - Street 1:205 HAGGERTY LN STE 290
Practice Address - Street 2:
Practice Address - City:BOZEMAN
Practice Address - State:MT
Practice Address - Zip Code:59715-8800
Practice Address - Country:US
Practice Address - Phone:406-579-8955
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-27
Last Update Date:2016-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTMT 61171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist