Provider Demographics
NPI:1538452198
Name:KAPLAN, NOAH (DC)
Entity type:Individual
Prefix:
First Name:NOAH
Middle Name:
Last Name:KAPLAN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:433 MILLER AVE
Mailing Address - Street 2:
Mailing Address - City:MILL VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:94941-2903
Mailing Address - Country:US
Mailing Address - Phone:415-383-0904
Mailing Address - Fax:415-383-0908
Practice Address - Street 1:433 MILLER AVE
Practice Address - Street 2:
Practice Address - City:MILL VALLEY
Practice Address - State:CA
Practice Address - Zip Code:94941-2903
Practice Address - Country:US
Practice Address - Phone:415-383-0904
Practice Address - Fax:415-383-0908
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-16
Last Update Date:2011-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA31980111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor