Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111N00000X | Chiropractor | 3145 | SC |
Y | 111NN1001X | Nutrition | 3145 | SC |
N | 111NS0005X | Chiropractic Sports Physician | 3145 | SC |
NPI | 1467482026 |
---|---|
Provider Name | Dr. William Jeffrey Kramer |
First Address | Greenville, SC 29615-3514 |
Second Address | Greenville, SC 29615-3514 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/07/2006 |
Last Update Date | 08/08/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
U58677 | (02) | GA |