Kraetzer, Nicholas

Kraetzer, Nicholas is an sole proprietor health care provider with primary practice located at 18837 Brookhurst St 106, Fountain Valley CA 92708-7301. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Kraetzer, Nicholas can be contacted via phone (714) 964-5911.

Contact Information

Primary practice address
18837 Brookhurst St 106 Fountain Valley CA 92708-7301
Phone: (714) 964-5911
Fax: (714) 963-0673
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X DC21027 California

Profile Details

NPI number 1770664476
LBN Legal business name Kraetzer, Nicholas
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 18th, 2006
Last updated Oct 6th, 2010 - about 16 years ago

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 1770664476 NPPES
California Other DC0210270 BLUE SHIELD
California Other DC21027 BLUE SHIELD

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