Healthcare Provider Details

I. General information

NPI: 1013094499
Provider Name (Legal Business Name): ERIC B LAMBERT, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/01/2006
Last Update Date: 11/13/2024
Certification Date: 11/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

751 KENMOOR AVE SE STE A
GRAND RAPIDS MI
49546-8627
US

IV. Provider business mailing address

751 KENMOOR AVE SE STE A
GRAND RAPIDS MI
49546-8627
US

V. Phone/Fax

Practice location:
  • Phone: 616-956-1112
  • Fax: 616-956-6265
Mailing address:
  • Phone: 616-956-1112
  • Fax: 616-956-6265

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2301007861
License Number StateMI

VIII. Authorized Official

Name: DR. ERIC BRIAN LAMBERT
Title or Position: PRESIDENT
Credential: DC
Phone: 616-956-1112