Provider Demographics
NPI:1366843443
Name:KREMER, CAROL (L AC)
Entity type:Individual
Prefix:
First Name:CAROL
Middle Name:
Last Name:KREMER
Suffix:
Gender:F
Credentials:L AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6691 CROFOOT RD
Mailing Address - Street 2:
Mailing Address - City:HOWELL
Mailing Address - State:MI
Mailing Address - Zip Code:48843-7647
Mailing Address - Country:US
Mailing Address - Phone:419-902-4967
Mailing Address - Fax:
Practice Address - Street 1:6691 CROFOOT RD
Practice Address - Street 2:
Practice Address - City:HOWELL
Practice Address - State:MI
Practice Address - Zip Code:48843-7647
Practice Address - Country:US
Practice Address - Phone:419-902-4967
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-09
Last Update Date:2024-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH65.000282171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist