Provider Demographics
NPI:1427200492
Name:HAMILTON CHIROPRACTIC
Entity type:Organization
Organization Name:HAMILTON CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:CLARK
Authorized Official - Last Name:HAMILTON
Authorized Official - Suffix:IV
Authorized Official - Credentials:DC
Authorized Official - Phone:408-206-1667
Mailing Address - Street 1:17760 MONTEREY RD STE A4
Mailing Address - Street 2:
Mailing Address - City:MORGAN HILL
Mailing Address - State:CA
Mailing Address - Zip Code:95037-7305
Mailing Address - Country:US
Mailing Address - Phone:408-206-1667
Mailing Address - Fax:408-228-1962
Practice Address - Street 1:17760 MONTEREY RD STE A4
Practice Address - Street 2:
Practice Address - City:MORGAN HILL
Practice Address - State:CA
Practice Address - Zip Code:95037-7305
Practice Address - Country:US
Practice Address - Phone:408-206-1667
Practice Address - Fax:408-228-1962
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-21
Last Update Date:2008-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA29807111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty