Provider Demographics
NPI:1598578155
Name:DR KREMER ENTERPRISE PLLC DBA HIGHLANDS CHIROPRACTIC
Entity type:Organization
Organization Name:DR KREMER ENTERPRISE PLLC DBA HIGHLANDS CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:BRADFORD
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:KREMER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:425-277-0577
Mailing Address - Street 1:3901 NE 4TH ST STE 109
Mailing Address - Street 2:
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98056-4100
Mailing Address - Country:US
Mailing Address - Phone:425-277-0577
Mailing Address - Fax:425-277-0562
Practice Address - Street 1:3901 NE 4TH ST STE 109
Practice Address - Street 2:
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98056-4100
Practice Address - Country:US
Practice Address - Phone:425-277-0577
Practice Address - Fax:425-277-0562
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-28
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1063654853OtherNPI