=====================================================
General NPI Number Information
=====================================================
NPI Number | 1568518744
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | KARL E AAMOT, D.C. A CHIROPRACTIC CORPORATION
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/28/2007
-----------------------------------------------------
Last Update Date | 08/22/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 233 CAJON ST SUITE 6
-----------------------------------------------------
City | REDLANDS
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 92373-5257
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 909-798-4444
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 233 CAJON ST SUITE 6
-----------------------------------------------------
City | REDLANDS
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 92373-5257
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 909-798-4444
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT, SECRETARY, TREASURER
-----------------------------------------------------
Name | DR. KARL E AAMOT III
-----------------------------------------------------
Credential | D.C.
-----------------------------------------------------
Telephone | 909-798-4444
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 111N00000X
-----------------------------------------------------
Taxonomy Name | Chiropractor
-----------------------------------------------------
License Number | 17317
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------