=====================================================
General NPI Number Information
=====================================================
NPI Number | 1861405490
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HAMMETT CLINIC OF CHIROPRACTIC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/14/2006
-----------------------------------------------------
Last Update Date | 11/28/2007
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1908 S MAIN ST
-----------------------------------------------------
City | WAYNESVILLE
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 28786-6790
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 828-452-1879
-----------------------------------------------------
Fax | 828-452-0811
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1908 S MAIN ST
-----------------------------------------------------
City | WAYNESVILLE
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 28786-6790
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 828-452-1879
-----------------------------------------------------
Fax | 828-452-0811
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | DR. RALPH CARPENTER HAMMETT JR.
-----------------------------------------------------
Credential | D.C.
-----------------------------------------------------
Telephone | 828-452-1879
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 111N00000X
-----------------------------------------------------
Taxonomy Name | Chiropractor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------