Kertz, Randall
Kertz, Randall is an sole proprietor health care provider with primary practice located at 9000 W Thunderbird Rd Ste 205 , Peoria AZ 85381-4451. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Kertz, Randall can be contacted via phone (602) 325-2024.Contact Information
Primary practice address
9000 W Thunderbird Rd Ste 205
Peoria AZ 85381-4451
Phone: (602) 325-2024
Fax: (720) 925-5897
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 038008990 | Illinois |
| Chiropractic Providers / Chiropractor | 111N00000X | 9084 | Arizona |
Profile Details
| NPI number | 1891791638 |
|---|---|
| LBN Legal business name | Kertz, Randall |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 27th, 2005 |
| Last updated | May 2nd, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891791638 | NPPES |
| Illinois | MEDICAID | 038008990 |
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