Provider Demographics
NPI:1780715581
Name:KRATZ CHIROPRACTIC CENTER
Entity type:Organization
Organization Name:KRATZ CHIROPRACTIC CENTER
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:ALLYN
Authorized Official - Last Name:KRATZ
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:401-781-7002
Mailing Address - Street 1:240 CHESTNUT ST
Mailing Address - Street 2:SUITE 1
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02888-3113
Mailing Address - Country:US
Mailing Address - Phone:401-781-7002
Mailing Address - Fax:401-781-8153
Practice Address - Street 1:240 CHESTNUT ST
Practice Address - Street 2:SUITE 1
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02888-3113
Practice Address - Country:US
Practice Address - Phone:401-781-7002
Practice Address - Fax:401-781-8153
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty