Provider Demographics
NPI:1841431889
Name:RICHTER, ERNIE (DC)
Entity Type:Individual
Prefix:DR
First Name:ERNIE
Middle Name:
Last Name:RICHTER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:DR
Other - First Name:ERNEST
Other - Middle Name:
Other - Last Name:RICHTER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DC
Mailing Address - Street 1:1200 FRANKLIN MALL UNIT 803
Mailing Address - Street 2:
Mailing Address - City:SANTA CLARA
Mailing Address - State:CA
Mailing Address - Zip Code:95052-6033
Mailing Address - Country:US
Mailing Address - Phone:408-375-2255
Mailing Address - Fax:
Practice Address - Street 1:1200 FRANKLIN MALL UNIT 803
Practice Address - Street 2:
Practice Address - City:SANTA CLARA
Practice Address - State:CA
Practice Address - Zip Code:95052-6033
Practice Address - Country:US
Practice Address - Phone:408-375-2255
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-22
Last Update Date:2013-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20761111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor