Provider Demographics
NPI:1942349915
Name:KRAMER, MARC S (DC)
Entity Type:Individual
Prefix:DR
First Name:MARC
Middle Name:S
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 1:9478 W OLYMPIC BLVD
Mailing Address - Street 2:PH
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90212-4246
Mailing Address - Country:US
Mailing Address - Phone:310-556-8071
Mailing Address - Fax:310-556-3880
Practice Address - Street 1:9478 W OLYMPIC BLVD
Practice Address - Street 2:PH
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90212-4246
Practice Address - Country:US
Practice Address - Phone:310-556-8071
Practice Address - Fax:310-556-3880
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-06
Last Update Date:2009-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301009304111N00000X
CA30960111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor