Provider Demographics
NPI:1649399015
Name:KWASMAN, HOWARD (DC)
Entity Type:Individual
Prefix:DR
First Name:HOWARD
Middle Name:
Last Name:KWASMAN
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 1:20825 SOUTH ST
Mailing Address - Street 2:
Mailing Address - City:TEHACHAPI
Mailing Address - State:CA
Mailing Address - Zip Code:93561-6438
Mailing Address - Country:US
Mailing Address - Phone:661-823-8888
Mailing Address - Fax:
Practice Address - Street 1:20825 SOUTH ST
Practice Address - Street 2:
Practice Address - City:TEHACHAPI
Practice Address - State:CA
Practice Address - Zip Code:93561-6438
Practice Address - Country:US
Practice Address - Phone:661-823-8888
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-28
Last Update Date:2016-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC 18489111N00000X
AL2241111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor