Provider Demographics
NPI:1831408327
Name:KRESSER, CHRIS (LAC)
Entity type:Individual
Prefix:
First Name:CHRIS
Middle Name:
Last Name:KRESSER
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6547 WHITNEY ST
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94609-1027
Mailing Address - Country:US
Mailing Address - Phone:510-323-2503
Mailing Address - Fax:510-740-4446
Practice Address - Street 1:2414 ASHBY AVE
Practice Address - Street 2:SUITE 201
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94705-2063
Practice Address - Country:US
Practice Address - Phone:510-323-2503
Practice Address - Fax:510-740-4446
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-30
Last Update Date:2010-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA13777171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist