Provider Demographics
NPI:1427225341
Name:KREMER FAMILY CHIROPRACTIC INC
Entity Type:Organization
Organization Name:KREMER FAMILY CHIROPRACTIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:S
Authorized Official - Last Name:KREMER
Authorized Official - Suffix:
Authorized Official - Credentials:D C
Authorized Official - Phone:530-527-0220
Mailing Address - Street 1:1615 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:RED BLUFF
Mailing Address - State:CA
Mailing Address - Zip Code:96080-2331
Mailing Address - Country:US
Mailing Address - Phone:530-527-0220
Mailing Address - Fax:530-527-4916
Practice Address - Street 1:2636A CHURN CREEK ROAD
Practice Address - Street 2:
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96002
Practice Address - Country:US
Practice Address - Phone:530-244-1088
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:KREMER CHIROPRACTIC INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-05-09
Last Update Date:2008-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAU57622Medicare UPIN