Provider Demographics
NPI:1619041589
Name:KREMER, DARBY JOSEPH (DC)
Entity Type:Individual
Prefix:
First Name:DARBY
Middle Name:JOSEPH
Last Name:KREMER
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 1:1518 SOLANO ST. STE A
Mailing Address - Street 2:
Mailing Address - City:CORNING
Mailing Address - State:CA
Mailing Address - Zip Code:96021-2931
Mailing Address - Country:US
Mailing Address - Phone:530-824-2448
Mailing Address - Fax:530-924-1618
Practice Address - Street 1:1518 SOLANO ST. STE. A
Practice Address - Street 2:
Practice Address - City:CORNING
Practice Address - State:CA
Practice Address - Zip Code:96021-2931
Practice Address - Country:US
Practice Address - Phone:530-824-2448
Practice Address - Fax:530-924-1618
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-20
Last Update Date:2008-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA26082111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor