Provider Demographics
NPI:1134680697
Name:HALL CHIROPRACTIC PC
Entity Type:Organization
Organization Name:HALL CHIROPRACTIC PC
Other - Org Name:HALL CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ESTHER
Authorized Official - Middle Name:S
Authorized Official - Last Name:HALL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:530-622-8041
Mailing Address - Street 1:183 PLACERVILLE DR STE A
Mailing Address - Street 2:
Mailing Address - City:PLACERVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95667-3933
Mailing Address - Country:US
Mailing Address - Phone:530-622-8041
Mailing Address - Fax:
Practice Address - Street 1:183 PLACERVILLE DR STE A
Practice Address - Street 2:
Practice Address - City:PLACERVILLE
Practice Address - State:CA
Practice Address - Zip Code:95667-3933
Practice Address - Country:US
Practice Address - Phone:530-622-8041
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-27
Last Update Date:2019-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center