Provider Demographics
NPI:1386854206
Name:CRAMER CHIROPRACTIC & REHABILITATION LLC
Entity Type:Organization
Organization Name:CRAMER CHIROPRACTIC & REHABILITATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:KELLY
Authorized Official - Last Name:CRAMER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:301-972-9191
Mailing Address - Street 1:12850 MIDDLEBROOK RD
Mailing Address - Street 2:SUITE 209
Mailing Address - City:GERMANTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20874-5255
Mailing Address - Country:US
Mailing Address - Phone:301-972-9191
Mailing Address - Fax:301-972-0207
Practice Address - Street 1:12850 MIDDLEBROOK RD
Practice Address - Street 2:SUITE 209
Practice Address - City:GERMANTOWN
Practice Address - State:MD
Practice Address - Zip Code:20874-5255
Practice Address - Country:US
Practice Address - Phone:301-972-9191
Practice Address - Fax:301-972-0207
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-22
Last Update Date:2009-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDS01842111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty