Provider Demographics
NPI:1013090414
Name:KRAMER CHIROPRACTIC CLINICS, PC
Entity Type:Organization
Organization Name:KRAMER CHIROPRACTIC CLINICS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:KRAMER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:605-935-6116
Mailing Address - Street 1:301 SOUTH MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:TRIPP
Mailing Address - State:SD
Mailing Address - Zip Code:57376-0269
Mailing Address - Country:US
Mailing Address - Phone:605-935-6116
Mailing Address - Fax:605-935-6118
Practice Address - Street 1:301 SOUTH MAIN STREET
Practice Address - Street 2:
Practice Address - City:TRIPP
Practice Address - State:SD
Practice Address - Zip Code:57376-0269
Practice Address - Country:US
Practice Address - Phone:605-935-6116
Practice Address - Fax:605-935-6118
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD888111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
SDS41846Medicare ID - Type UnspecifiedMEDICARE GROUP NUMBER