Provider Demographics
NPI:1972614485
Name:KRANZ, JAMES W (DC)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:W
Last Name:KRANZ
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 1:910 N CURTIS RD
Mailing Address - Street 2:
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83706-1308
Mailing Address - Country:US
Mailing Address - Phone:208-377-3777
Mailing Address - Fax:208-377-3779
Practice Address - Street 1:910 N CURTIS RD
Practice Address - Street 2:
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83706-1308
Practice Address - Country:US
Practice Address - Phone:208-377-3777
Practice Address - Fax:208-377-3779
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2007-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDC305111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IDC3050OtherBLUE CROSS
ID000010007201OtherREGENCE BLUE SHIELD
ID000010007201OtherREGENCE BLUE SHIELD
ID1378126Medicare ID - Type Unspecified