Provider Demographics
NPI:1609431907
Name:CRMA REPORTS, LLC
Entity Type:Organization
Organization Name:CRMA REPORTS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:HALL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:877-380-7668
Mailing Address - Street 1:13450 SW 3RD ST APT 204D
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33027-2050
Mailing Address - Country:US
Mailing Address - Phone:877-380-7668
Mailing Address - Fax:786-524-3395
Practice Address - Street 1:13450 SW 3RD ST APT 204D
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33027-2050
Practice Address - Country:US
Practice Address - Phone:877-380-7668
Practice Address - Fax:786-524-3395
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-02
Last Update Date:2019-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty