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
Fax: (720) 925-5897
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891791638 NPPES
Illinois MEDICAID 038008990

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