Provider Demographics
NPI:1568506772
Name:KRAMER, H. JONATHAN (DC)
Entity Type:Individual
Prefix:DR
First Name:H.
Middle Name:JONATHAN
Last Name:KRAMER
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 1:5346 REISTERSTOWN RD
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21215-4426
Mailing Address - Country:US
Mailing Address - Phone:410-358-7043
Mailing Address - Fax:410-358-0119
Practice Address - Street 1:5346 REISTERSTOWN RD
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21215-4426
Practice Address - Country:US
Practice Address - Phone:410-358-7043
Practice Address - Fax:410-358-0119
Is Sole Proprietor?:No
Enumeration Date:2007-02-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDS01636PT111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor