Healthcare Provider Details
I. General information
NPI: 1306192026
Provider Name (Legal Business Name): STEVEN C. HAMMER, D.C. PROFESSIONAL CHIROPRACTIC CORP
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/31/2012
Last Update Date: 09/06/2012
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6009 AUBURN BLVD STE 120
CITRUS HEIGHTS CA
95621
US
IV. Provider business mailing address
6009 AUBURN BLVD STE 120
CITRUS HEIGHTS CA
95621
US
V. Phone/Fax
- Phone: 916-723-3131
- Fax: 916-723-3146
- Phone: 916-723-3131
- Fax: 916-723-3146
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111NX0800X |
| Taxonomy | Orthopedic Chiropractor |
| License Number | 14086 |
| License Number State | CA |
VIII. Authorized Official
Name: DR.
STEVEN
CARL
HAMMER
Title or Position: PRESIDENT
Credential: D.C.
Phone: 916-723-3131