Provider Demographics
NPI:1053507939
Name:KRANZ CHIROPRACTIC CHARTERED
Entity type:Organization
Organization Name:KRANZ CHIROPRACTIC CHARTERED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:KRANZ
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:208-377-3777
Mailing Address - Street 1:910 N CURTIS RD
Mailing Address - Street 2:
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83706-1308
Mailing Address - Country:US
Mailing Address - Phone:208-377-3777
Mailing Address - Fax:208-377-3779
Practice Address - Street 1:910 N CURTIS RD
Practice Address - Street 2:
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83706-1308
Practice Address - Country:US
Practice Address - Phone:208-377-3777
Practice Address - Fax:208-377-3779
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-24
Last Update Date:2007-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDC-305111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ID000010007201OtherBLUE SHIELD
IDC-3050OtherBLUE CROSS
ID1378126Medicare UPIN
IDT44423Medicare PIN